Etz Hayim Shabbat - Hagim Attendant Registration - Form

We have reopened the sanctuary for all services. We are happy to welcome you to our services.
While we are reopening, we ask that you be mindful of the need to wear masks, practice social distancing and hand hygiene, and other measures to reduce the risk of the spread of infection.

Anyone who is not yet comfortable in returning to the sanctuary in this manner should feel no pressure to do so. Each of us should evaluate our own risks and comfort level. While services will now return to the sanctuary and we invite you to come and experience and participate in person, we will continue to have services provided online as well. For weekday services, by zoom; and for Friday Night, Shabbat, and Shabbat Mincha and Havdalah services on our website and on our You Tube channel.

Please fill out the health related questionnaire below. If you have symptoms or exposure please join us remotely. If you have questions or need assistance in completing the form, please contract the office at office@etzhayimhhb.org.
A separate form MUST be submitted for each person planning to attend. You must be registered to attend.

* Do you have one of the following conditions that cannot be explained by other medical conditions

Please Select OneYes I do have one of these symptomsNo I do not have these symptomsFever, shortness of breath, cough, chills. loss of smell or taste, diarrhea, headache, sore throat.

* Have you had any known close contact with a person who is lab confirmed to have Covid 19 in the last 14 days ?

Please Select OneYesNo

* Can we depend upon you for a minyan?

Please Select OneYesNo

* Are you completely vaccinated more than two weeks ago?

Please Select OneYesNo

Under the current circumstances, you are not eligible to attend an in-person minyan. Thank you for your interest. If you have further questions, please contact the office at office@etzhayimhhb.org.

* First Name

* Last Name

* Email New

* Phone Number

* Which services would you like to attend?