Family Shavuot Celebration 2022 - Form - Beth Tzedec Congregation

The Sweetness of Shavuot - A Family Shavuot Experience
Sunday June 5 at 5:00 p.m.

Enjoy the Sweetness of Shavuot together as a family. Alongside the Beth Tzedec Spiritual Leadership Team, we will experience the different meanings of the holiday through lots of fun activities, including a special 10 Commandments Torah Reading. Following the program, families can stay for dinner and special dairy Shavuot treats.

This program is planned for outdoors, so please prepare accordingly with water, hats and sunscreen. In the event of rain, the program will move indoors. Note that those joining us must wear a mask when not eating. You can click here to review our updated COVID protocols.

How many adults will be attending this program?

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How many children will be attending this program?

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* Do you plan on joining us for a dairy dinner following the program?

Please Select OneYesNoOutdoors, weather permitting

Excellent! We will email you with information on accessing our virtual livestream soon.

DISCLAIMER - EXCLUSION OF LIABILITY

Notice to all Attendees and Users of Beth Tzedec Congregation Prayer Services and Facilities

As a condition of attending and using the facilities of Beth Tzedec Congregation ("Beth Tzedec"), I assume all health risks relating to contracting COVID-19 while using the facilities of Beth Tzedec and agree that Beth Tzedec and its directors, officers, employees, agents, volunteers, sponsors and representatives shall not be liable for any illness or other consequences that may be attributed to my attendance and use of the facilities of Beth Tzedec and I hereby waive all claims against Beth Tzedec and its directors, officers, employees, agents, volunteers, sponsors and representatives with respect thereto. I further agree that the assumption of risks, agreement and waiver herein shall also apply to any minor person who attends with me and uses the facilities of Beth Tzedec.

* Do you accept all of the above conditions for you and any minor person who attends with you at Beth Tzedec?

Please Select OneYesNo

USE OF INFORMATION

As a condition of Beth Tzedec considering my request to attend and use the facilities of Beth Tzedec, I authorize and consent to Beth Tzedec collecting and maintaining the data or information provided by me to Beth Tzedec and I authorize and consent to Beth Tzedec providing such data or information to a public health authority or to any other person as may be considered by Beth Tzedec to be appropriate in the circumstances and I agree that Beth Tzedec and its directors, officers, employees, agents, volunteers, sponsors and representatives shall not be liable for providing any such information or data and I hereby waive all claims against Beth Tzedec and its directors, officers, employees, agents, volunteers, sponsors and representatives with respect thereto. I further agree that this authorization, consent, agreement and waiver shall apply to any minor person in respect of whom I have provided information or data to Beth Tzedec.

* Do you accept all of the above conditions for you and any minor person wth respect to whom you will be providing data or information to Beth Tzedec?

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As we continue our reopening process, a limited number of services and programs are open to those who register and commit to complying with the health and safety protocols. To view our COVID protocols, click here>>

* Do you agree to wear a mask at all times while in the building and on the grounds of Beth Tzedec?

Please Select OneYesNoNo, I have an eligible exemption

* For programs offered for both in-person and virtual participation, please note that all attendees may find themselves in view of the camera. Do you consent to having your image filmed and/or photographed and broadcast and/or recorded to all Beth Tzedec channels?

Please Select OneYesNo

Unfortunately, you are not eligible to attend this program in person. Thank you for your interest.

If you have further questions, please contact Daniel Silverman at dsilverman@beth-tzedec.org

* Are you completing this registration form for a child under the age of 18?

Please Select OneYes, I'm completing this form for someone under 18.No, I'm completing this form for myself.

* Child's Name

* Child's Age

Please enter the name and contact information of the adult who will be accompanying this registrant.

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That's all we need! We look forward to welcoming you to the program.