Shani Reiss Bat Mitzvah Registration

Please complete this form to register for Shabbat at Great Neck Synagogue.

Shani Reiss Bat Mitzvah

Please complete the below form to pre-register to attend minyanim at the Great Neck Synagogue.

Name*
First Last
Email*
Cell phone*
Are you a member of Great Neck Synagogue?*
Please confirm your agreement to the below by checking the appropriate box
I will not attend Great Neck Synagogue for any purpose if: (i) I have had direct contact with a COVID-19 positive patient, defined as being within 6 feet for greater than 15 minutes. If so, I understand that I need to stay at home for 14 days and self-monitor for symptoms, OR (ii) I have been diagnosed with a current case of COVID-19 or exhibit any symptoms of COVID-19. If so, I understand that I need to stay at home until: a) 10 days have passed from symptom onset; and b) 3 days have passed without symptoms when off medications.
- Agree
I will not attend Great Neck Synagogue if I or a member of my household has recently travelled to any region experiencing an outbreak of COVID-19, and I agree to: (i) not attend for 14 days if I have travelled to any of the states designated by New York State as having experiencing outbreaks; (ii) not attend for 14 days after any international travel (including from Israel); and (iii) comply with any applicable federal or state rules about self-quarantine that may be issued or amended in the future.
- Agree
I agree to comply with Great Neck Synagogue’s safety policies and protocols, including wearing a face covering at all times on Great Neck Synagogue premises and following Great Neck Synagogue’s social distancing requirements
- Agree
I understand that COVID-19 is contagious and poses serious health risks. I am voluntarily assuming the risks of choosing to attend services at Great Neck Synagogue. I agree that I will not assert any claim against Great Neck Synagogue, its officers, trustees or employees (together, “GNS”) related to attending services or other events at Great Neck Synagogue. I expressly disclaim GNS of all liability for any claims related to COVID-19, including, but not limited to claims based in tort or contract, and claims based on any alleged negligent act or omission by GNS, including for matters known or unknown to GNS
- Agree

Shani Reiss Bat Mitzvah Registration

Shani Reiss Bat Mitzvah

Please confirm your agreement to the below by checking the appropriate box

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