Purim-in-Person 2021 Registration

Thank you for registering for in-person Purim services at Synagogue Emanu-El.
You do not need a ShulCloud account or to be logged in to complete this form.
However, logging into ShulCloud will auto-fill most of the information for you and the office and is appreciated.

If you wish to be placed on a wait list, need to cancel, or if you have questions, please e-mail Daphne Hubara.

* First name

* Last name

* Email address

* Mobile #

* Number attending

Purim-in-Person 6:30p - Fully Booked

Purim-in-Person 9am - 14 of 25 Left

* I acknowledge the following.

I acknowledge the following.COVID-19 Protocol. Please acknowledge for all people you are registering.

-I do not have a fever. I feel healthy, and I have had no flu-like symptoms or other symptoms consistent with COVID-19 infection for at least seven days.
-I have not had any loss of the senses of smell or taste in the past seven days.
-I do not have shortness of breath, cough, runny nose, congestion, or other respiratory symptoms and haven't in the past seven days.
-I have not had close or sustained contact with anyone with the above symptoms in the past 14 days

Thu, February 25 2021
13 Adar 5781