High Holy Day Ticket Order Form and Attestation of Vaccination Status - Form

We look forward to welcoming everyone back to BZBI in the safest and most accessible way possible. When planning for the quickly approaching High Holy Day season we are prioritizing the health and safety of all our community members. Barring any drastic changes in COVID-19 infection rates over the next month, we will return to BZBI for in-person services on Rosh Hashanah and Yom Kippur. All services will also be accessible online via Zoom and Facebook Live. Parents with children can reserve spots for babysitting or Youth and Family activities by clicking here.

IMPORTANT - WE REQUIRE BZBI MEMBERS WHO PLAN TO ATTEND IN-PERSON SERVICES TO COMPLETE THIS FORM BEFORE 12:00 NOON ON FRIDAY, AUGUST 20, 2021.

* First Name

* Last or Family Name

* Email Address

* Best Contact Number

Have you renewed your BZBI Membership for 2021-2022?

YesNoWe are Early Childhood parents eligible to attend services

Please complete your membership renewal before continuing by clicking here.

Number of adults attending in-person services in the Sanctuary, including you (all must be BZBI members)

Adults are defined as people living in your house who are age 23 or older, and not in school.

Add a second adult?

NoYes

First Name of Second Adult

Last Name of Second Adult

Add a third adult?

NoYes

First Name of Third Adult

Last Name of Third Adult

Add a fourth adult?

NoYes

First Name of Fourth Adult

Last Name of Fourth Adult

To add more adults, please call the Temple office at 215-735-5148

Will you or anyone in your party participate via Zoom at any time during the High Holy Day?

NoYes

Because services will be multi-access this year, you have the option to attend one, many, or all services online. Note that adult services are available both in-person and on Zoom, but Youth & Family events will only take place in-person.

Access to all adult services on Zoom during the High Holy Days are offered at no charge to BZBI members, those who fall under their membership, and their guests. To register for access, click here for Zoom registration.

You may reserve one or more copies of our High Holiday Machzorim for use in your home, available at no charge with a refundable deposit. Orders for Machzor loan are due by noon on FRIDAY, AUGUST 27, 2021. With your confirmation email, we will send information on pickup dates and locations.

Number of Machzorim ($90 Refundable Deposit for Each Book)

Total due for Machzor deposit

Do you have children who will be attending adult services?

NoYes

Number of children attending in-person services in the Sanctuary

Families who want childcare and/or have children who want to attend Youth & Family services must register in advance for these programs using a separate and required form located here.

First Name of First Child

Last Name of First Child

First Name of Second Child

Last Name of Second Child

First Name of Third Child

Last Name of Third Child

First Name of Fourth Child

Last Name of Fourth Child

First Name of Fifth Child

Last Name of Fifth Child

Would you like to add guest names, should guest tickets become available?

NoYes

How many tickets you would request?

Current guidelines suggest that we will not have room for guests at in-person services. We encourage extended family and out-of-town guests to join us on Zoom. However, we will notify you if guest tickets become available for the names you add here.

First Name of Guest 1

Last Name of Guest 1

First Name of Guest 2

Last Name of Guest 2

First Name of Guest 3

Last Name of Guest 3

First Name of Guest 4

Last Name of Guest 4

I would like to add more than four guests, in the event that tickets become available.

* I attest that all those in my party who will be attending BZBI in-person services are fully vaccinated.

I attest that all those in my party who will be attending BZBI in-person services are fully vaccinated.All members of your party age 12 or older, who are eligible, must be fully vaccinated to attend Sanctuary services.

* I understand that masks are required to be always worn properly while in the BZBI building and I agree to abide by these rules.

I understand that masks are required to be always worn properly while in the BZBI building and I agree to abide by these rules.

* Neither I nor any member of my party will enter the BZBI building if we have had exposure to an infected individual, are awaiting the results of a COVID test, or are exhibiting symptoms of a COVID infection.

Neither I nor any member of my party will enter the BZBI building if we have had exposure to an infected individual, are awaiting the results of a COVID test, or are exhibiting symptoms of a COVID infection.

The potential symptoms of COVID include:
    Continuous or intermittent cough
    Shortness of breath
    Fever or feel feverish (with or without chills)
    Sore throat
    Headache, muscle aches or muscle pain
    Recent loss of the sense of taste or smell
    Fatigue (tired)
    Congestion or a runny nose
    Recent nausea, vomiting or diarrhea
    Recent infection requiring prescription medication
    Exposure in the last 14 days to someone with a cold, flu contagious illness, or suspicion of COVID-19.

* I and those in my party have read and understand the BZBI Health and Safety Holiday statement, and I/we understand that if I/we violate these rules, I/we may be asked to leave.

I and those in my party have read and understand the BZBI Health and Safety Holiday statement, and I/we understand that if I/we violate these rules, I/we may be asked to leave.

Our goal is to maximize the number of members who can safely attend High Holy Day services in person, while still following all CDC and government guidelines. This intention requires us to implement the following policies:

All who attend in person services over the age of 12 must be fully vaccinated. An exception will be made for those under 12 who will be allowed to attend without vaccination.

Those over the age of 2 must be properly masked at all times while in the building, with the exception of specific individuals on the Bimah.

Anyone who is medically unable to be vaccinated or immunocompromised should participate in services via Zoom, not in person. We are committed to providing a quality Zoom experience for anyone who cannot attend in person.

We urge anyone age 12 or older who has not yet done so to get vaccinated as soon as possible.

Should the situation with COVID-19 change dramatically, we will of course need to adjust our plans and we appreciate your patience and understanding.

For more information, contact Reopening@bzbi.org