Thank you for registering for services. Please fill this form out for one person only.
If there is anyone else in your party, they must have a separate form completed so we can keep track of vaccination status.

If you are completing this form after 2:30 pm on Friday, please note the following:
- If this is your first time providing proof of vaccination, you will need to bring your Vaccine Card with you to services in addition to completing this form.
- If you have already provided proof of vaccination either at previous services or via this form, disregard this notice. 

We will continue to hold Shabbat evening, Shabbat morning, and Sunday morning services in person in the Wolman Sanctuary. However, pre-registration and proof of vaccination will be required in order to attend services in person. This includes service leaders, greeters, shomrim, and anyone else with a role in services. Attendees must be vaccinated to the maximum extent available to them, meaning that if you’re eligible for a booster, you must provide proof of booster in order to attend.

Wearing a mask when inside the building continues to be required. This now applies to everyone, including services leaders, Torah and Haftarah chanters, and speakers.

And finally, if you are not feeling well or develop symptoms after you have registered to attend, or you have been exposed to someone who is infected since registering, please stay home. Get tested and, if you test positive, please don’t come to the synagogue for 14 days. (This is longer than the CDC recommendation in order to be extra careful.)

If you attend services and subsequently develop symptoms or find out you have been exposed to someone who is infected, please notify Rabbi Werbow right away.