Shmini Atzeret Service Attendance

We are pleased to that you will be joining us at the Marlboro Jewish Center for the Shmini Atzeret service (with Yizkor). The service takes place on Saturday, October 10th at 10:00 am.

In order to comply with the regulations designed to ensure the health and well-being of the entire community, we as that you please complete this registration form before attending the service.
A separate form MUST be submitted for each person planning to attend the service.

We strongly encourage that attendance at services is limited to those aged 13-64 who do not have any chronic medical conditions, including diabetes, hypertension, heart, lung, kidney, or liver disease, neurologic disorders, immuno-deficiencies, or severe obesity. Please see the CDC website for more information with regard to those who are most at-risk: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-higher-risk.html.

By attending a service at MJC, you do so at your own risk and agree to follow all rules and instructions.

Protocols and Requirements

As per CDC guidelines, everyone entering the building above the age of two must wear a face covering that covers both mouth and nose and must continue to wear it while on the MJC premises, including during the service. Coverings must be provided by the individual and will not be made available by the synagogue.
Everyone entering the building will have their temperature taken with no contact thermometers. Anyone with a temperature of 100.2 will not be permitted entry into the building.
All attendees must maintain 6 feet distance with all others, except for immediate family members, caretakers, or romantic partners.
There should be no physical contact between attendees, except among immediate family members, caretakers, or romantic partners. This includes hand shaking (even with gloves), fist bumps, hugs, and kisses.
All bathrooms will be closed. The ADA bathroom will be available for emergency use only, with entry permitted for one occupant at a time.
Attendees are requested to use the Hand Sanitizer upon entry to the building.
Attendees must follow directions that will be given for exiting the building.

First Name

Last Name

Cell Phone Number

Email address

Street Address

Please list the address where you live.

* All Boxes Must Be Checked to Participate

I have read the above and attest that I will adhere to all of the policies and procedures set forth MJC, including directives given while at the service.I am between the ages of 13 and 65, or understand that I am in a higher risk category as defined by the CDCI am not currently experiencing any signs of illness (including fever, cough, shortness of breath or difficulty breathing, chills, headache, body/muscle aches, sore throat, loss of taste or smell, diarrhea, nausea, or vomiting)I agree to wear a face covering over my mouth and nose at all times while on the premisesI agree to keep 6 feet distance from others in attendanceI agree to inform the Rabbi if I test positive for COVID 19 within 14 days of attending a serviceI have not had any known close contact with a person who is lab confirmed to have Covid 19 within the last 14 daysI understand that attending any service at MJC is my choice. I therefore release the Marlboro Jewish Center from any and all liability for the unintentional exposure or harm due to COVID-19.

Please list the immediate family members of the same household who will sit with you.

Please note, each adult family member must register separately.

Please list the names and ages of any children who will attend with you.

Fri, January 15 2021 2 Shevat 5781