Full Name* First Name Last Name E-mail* Please indicate attendees: Rosh Hashanah Day 1: Adults attending Rosh Hashanah Day 1: Preschool age children attending Family Program (10:30am - 11:00am) Rosh Hashanah Day 1: School-age children attending Family Progam & High Holiday Kids Club (10:30 - 12:00pm) Rosh Hashanah Day 1: Teens Round Table Discussion (11:10am-11:40am) Rosh Hashanah Day 1: Preschool Babysitting (ages 2 - 5; 11:00am - 12:30) Rosh Hashanah Day 2: Adults attending Rosh Hashanah Day 2: Preschool age children attending Family Progam (10:30 - 11:00am) Rosh Hashanah Day 2: School-age children attending Family Program & High Holiday Kids Club (10:30am - 12:00pm) Rosh Hashanah Day 2: Teen Roundtable Discussion (11:10am - 11:40am) Rosh Hashanah Day 2: Preschool Babysitting (ages 2 - 5; 11:00am - 12:30) Yom Kippur: Adults attending Yom Kippur: Preschool age children attending Family Program (10:30am - 11:00am) Yom Kippur: School-age children attending Family Program & High Holiday Club (10:30 - 12:00pm) Yom Kippur: Teen Round Table Conversation (11:10am - 11:40am) Yom Kippur: Preschool Babysitting (ages 2 - 5; 11:00am - 12:30) Yom Kippur Mincha/Neilah: Adults attending Yom Kippur Neilah: School-age children: Supervised Play (6:00pm -7:00pm) We Count on Your Donation Please help Chabad bring more light to the community by making a generous contribution toward High Holidays. Click here to join as a partner. I would like to make a donation of: $50$75$100 Payment Credit Card Paypal Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2024202520262027202820292030203120322033 Expiration YearPaypal has been selected. Payment will take place on the next page.Billing Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Submit Should be Empty: This page uses TLS encryption to keep your data secure.