High Holidays

Rosh Hashana and Yom Kippur Seating

Please fill in one form per family or single. Extended family & friends must have their own separate form. Thank you.

* First Name

* Last Name

* Email Address

* Phone Number

How many seats will you need in the Men's Section?

Please provide the name(s) of male attendees:

Males only, choose one:

KohenLeviYisrael

How many seats will you need in the Women's Section?

Please provide the name(s) of female attendees:

* Do you have young children that will require supervision during services?

YesNo

If yes, please specify gender and age of each child. Mark each on a separate line:

* Which services do you plan to attend?

Rosh Hashana EveningRosh Hashana Day timeYom Kippur - Kol Nidrei (eve)Yom Kippur Day Time (includes Yizkor)Yom Kippur Afternoon (Ne'ilah)

You can help us cover our costs for the High Holidays and beyond with a donation to The Surfside Minyan:

$54$72$120$180$360$540

Other, Enter Amount:

I would like to donate a Machzor or another Sefer (Holy book) at $36/each:

I would like to sponsor a children's program at $180/each:

I would like to contribute to the purchase of games/toys for the Children's Room. Enter amount:

If you would like to add a dedication sticker inside please specify details below. eg. In memory of, In honor of etc.

Wed, September 11 2024 8 Elul 5784

Surfside Minyan | 8846 Harding ave, Surfside fl 33154