Shabbat and Weekday Service Registration Form

Please fill out one per person.

For all questions and enquiries, please email [email protected]

Full Name*

First NameLast Name

E-mail*

We recommend persons with a preexisting medical condition or in any other high risk category consult with a doctor before attending Shul. Please supply your Covid-19 Document number. Please wear a mask when attending Shul..

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Covid-19 Document Number

Phone Number*

Area CodePhone Number

Please confirm conditions of attendance*

I have no virus, cold or flu symptoms, I have not had a fever in the past 72 hrs.I have had no contact with anybody who has coronavirus or has arrived from overseas or any hotspot in the past 14 days.I will sanitise/wash my hands before coming to Shul and I will adhere to appropriate hygiene measures whilst attending Shul.I will wear a mask when attending Shule.

I would like to receive news and updates by email

I wish to attend the following services*

Shabbat and Weekday Service Registration Form

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