Registration Form

Here is the form to fill out to let us know you are coming!  Because it is traditional to contribute to good causes in memory of loved ones at the High Holidays,  the registration form includes the opportunity for you to donate to Tzedakah.  You may want to donate money to provide holiday meals for needy Jewish families in Boston and/or you may want to provide assistance to those affected by the oil spill in the Gulf Coast. In addition, you can indicate on the form whether you'd like to contribute to the Bimah flowers in honor of a special occasion or person or in memory of a loved one. 
 
If you will be joining us for the memorial service called Yizkor on Yom Kippur afternoon and would like to have Rabbi Cherie mention your loved ones who have passed away, please provide us with their names in the appropriate section below.
 
Please be sure to fill out the entire form.
 

***You will receive an invoice by email. Your receipt for this invoice will serve as your ticket. Please print and bring it with you to the service.***

 
If you need further information call or email. See contact information under "contact us" on the menu to the left.
 
 
 

    Last name(s):

 * required

First Name(s) of those attending:
 * required

Email address:
 * required

Phone number:
 * required

Mailing Address:

             Check the services you will attend:
 
Erev (Evening) Rosh HaShanah
Rosh HaShanah Day
Kol Nidre (Evening of Yom Kippur)
Yom Kippur Day and Yizkor (Afternoon Memorial Service)
Neila and Break fast at the end of Yom Kippur

Will you need prayer books?
Yes, I would like to buy the following number of books at $15 per person:
No, I will bring my own

Will you be joining us for
Rosh HaShanah Lunch?
Yes, the following number of people (13 and older) will attend lunch at $8 per person:
Yes, the following number of people (12 and under) will attend lunch at $5 per person:
No thanks

We ask that everyone that attends make a donation to the Chapel service in the amount of $80 per person per holiday. Your donations help pay expenses for the service.
 

Please indicate the amount of your donation here:

 * required

  Would you like to donate toward flowers?

Please indicate the amount of your donation here:

Please list the names of your loved ones who you are honoring with this donation:

Tzedakah contributions?
This year we are collecting money for:
Yad Chessed to provide Holiday meals for needy Boston Jewish families.
National Audubon Society: Audubon Action Center to provide relief to wildlife affected by the Gulf Coast oil spill. 

Please indicate the amount of your donation here:

Please list the names of your loved ones who you are honoring/memorializing with this donation (and where you would like your money to go):

If you are attending Yizkor, please list the names of loved ones that have passed away.

Please list your loved ones who have died since last Yom Kippur here:

Please list all other loved ones who you would like mentioned here:

 
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The Chapel Service ~ 617-558-0045