Week of June 21

Use this form to register for minyanim throughout the week. If you need to change a response after submitting this form please register again and click the change box.

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

Name*
First Last
Email*
Cell phone*
Gender*
Are you a member of Great Neck Synagogue?*
Are you saying kaddish?
Age Recommendation (below 13 will not be allowed to attend)
Medical professionals have advised that individuals age 65 and older are at an increased risk for contracting the Covid 19 virus.
Are you aware of the increased risk for contracting Covid 19 if you have any of the following conditions?*
- a) Immuno-compromised
- b) Chronic lung disease
- c) Cardiovascular disease
- d) Diabetes
- e) Chronic kidney disease requiring dialysis
- f) Severe obesity defined as Body Mass Index >40 (Calculator available on line)
- Yes, I am aware of these risk factors
Have you experienced any of the below symptoms in the past 14 days?
- a) Fever >100 degrees
- b) Chills
- c) Muscle pain
- d) Cough
- e) Shortness of breath
- f) Headache
- g) Sore throat
- h) Runny nose
- i) Diarrhea
- j) Vomiting
- k) New loss of taste or smell
Have you had close contact or cared for someone diagnosed with or suspected to have COVID-19 within the past 14 days? Medical professional who wear PPE should answer NO,
By registering, you agree that you have read and agree to comply with the terms and conditions for participation (available at https://www.gns.org/guidelines-for-shabbat-minyan-attendance/), are participating at your own risk, and expressly disclaim Great Neck Synagogue and its officers, trustees and employees of any liability
- No, I don't agree and will not come to minyan
- Yes, I agree
Please choose the minyanim you will be attending
I am making a change to a previously submitted registration.
- Yes
Sunday, June 21 at 8:30 am
Sunday, June 21 at 8:15 pm
Monday, June 22 at 7:45 am
Monday, June 22 at 8:15 pm
Tuesday, June 23 at 7:45 am
Tuesday, June 23 at 8:15 pm
Wednesday, June 24 at 7:45 am
Wednesday, June 24 at 8:15 pm
Thursday, June 25 at 7:45 am
Thursday, June 25 at 8:15 pm
Friday, June 26 at 7:45 am
Friday, June 26 at 7:00 pm

Please choose the minyanim you will be attending

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