Non-Member 2024 High Holiday Registration

Non-Member High Holiday Registration 2024

Registration is required for all attendees.

For full High Holiday information, including dates and costs, please click HERE.

GENERAL INFORMATION

Primary Name(Required)

First Last

Primary Email(Required)

Primary Phone(Required)

Primary Address(Required)

Street Address City State ZIP Code

Please select the number of persons you are registering below.

# of Adults (18 and older)(Required)

Children (Ages 13 to 17)

Children (Ages 6 to 12)

Children (Ages 5 and Under)

Do you plan to attend Family Services ONLY?(Required)

Yes

How did you hear about Temple Beth Torah?(Required)

For security purposes, please provide the names and contact information for all ADULTS planning to attend High Holidays with you.

Adult 2 - FULL NAME(Required)

Adult 2 - EMAIL ADDRESS(Required)

Adult 2 - PHONE(Required)

Adult 2 - ADDRESS(Required)

Same as previous

Street Address City State ZIP Code

Adult 3 - FULL NAME(Required)

Adult 3 - EMAIL ADDRESS(Required)

Adult 3 - PHONE(Required)

Adult 3 - ADDRESS(Required)

Same as previous

Street Address City State ZIP Code

Adult 4 - FULL NAME(Required)

Adult 4 - EMAIL ADDRESS(Required)

Adult 4 - PHONE(Required)

Adult 4 - ADDRESS(Required)

Same as previous

Street Address City State ZIP Code

SERVICE ATTENDANCE

Please indicate which services you/your group plan to attend.

Rosh Hashanah(Required)

Erev Rosh Hashanah - Wednesday, October 2 at 7:30pm

Rosh Hashanah Family Service - Thursday, October 3 at 9:00am

Rosh Hashanah Morning - Thursday, October 3 at 10:15am

None

Yom Kippur(Required)

Kol Nidre - Friday, October 11 at 7:30pm

Yom Kippur Family Service - Saturday, October 12 at 9:00am

Yom Kippur Morning - Saturday, October 12 at 10:15am

Yizkor - Saturday, October 12 at approx. 1:00pm

Yom Kippur Afternoon - Saturday, October 12 at 4:00p,

N'ilah - Saturday, October 12 at approx. 5:15pm

None

REGISTRATION COSTS

Temple Beth Torah welcomes non-members to attend High Holiday services with our community for $175 per adult per holiday or $300 per adult for both holidays. Children 17 and younger are free. Family Services are free of charge for both adults and children.

# of Adults (18 and older) for BOTH Holidays

Price: $300.00

# of Adults (18 and older) for Rosh Hashanah ONLY - Sept. 15 & 16

Price: $175.00

# of Adults (18 and older) for Yom Kippur ONLY - Sept. 24 & 25

Price: $175.00

BREAK-THE-FAST - Saturday, October 12 approx. 6pm

TBT hosts a Break-the-Fast following N'ilah on Yom Kippur. Please indicate any dietary needs below so we have appropriate options for everyone.

# of Adult(s) (18 and older) for Break-the-Fast

Price: $30.00

# of Children (ages 13 to 17) for Break-the-Fast

Price: $20.00

# of Children (ages 6 to 12) for Break-the-Fast

Price: $15.00

# of Children (5 and under) for Break-the-Fast

Price: $0.00

Dietary Needs

Please select all that apply.

Dairy Free

Gluten Free

Vegetarian

Vegan

Other

Food Allergies

Please select all that apply.

Peanuts

Tree Nuts

Milk or Dairy

Other

If you selected "Other" for Dietary Needs or Food Allergies, please specify below:

ADDITIONAL CONTRIBUTIONS

TBT is a small and vibrant community. We welcome and appreciate additional contributions of any amount to support our congregation.

Would you like to make a SPECIAL CONTRIBUTION to TBT?

YES

I would like to contribute

Chai

Double Chai

Quadruple Chai

Other

If other, please list amount below:

YIZKOR INFORMATION

TBT publishes a Yizkor memorial booklet which is provided during the Yizkor service.

Would you like to remember someone in the Yizkor booklet and during the Yizkor service?(Required)

Yes

1. In Loving Memory of

(Full English Name)

1. Relationship to You

(Mother, father, etc.)

1. Date of Passing

(English Date)

1. After Sundown?

Yes

Unknown

2. In Loving Memory of

(Full English Name)

2. Relationship to You

(Mother, father, etc.)

2. Date of Passing

(English Date)

2. After Sundown?

Yes

Unknown

3. In Loving Memory of

(Full English Name)

3. Relationship to You

(Mother, father, etc.)

3. Date of Passing

(English Date)

3. After Sundown?

Yes

Unknown

SUMMARY AND PAYMENT

PREFERRED PAYMENT METHOD(Required)

Processing fees apply for credit card payments.

Credit Card

Check

TOTAL AMOUNT DUE

Price: $0.00

FOR PAYMENT BY CHECK, please include "High Holidays 2024" on the note line and make your check payable to TEMPLE BETH TORAH.

Please mail your check to:

TBT HIGH HOLIDAY COMMITTEE
PO BOX 2020
CENTREVILLE, VA 20122

TOTAL AMOUNT w/PROCESSING FEES

Price: $0.00

Credit Card

Card Details

Cardholder Name