Your Information Full Name* First Name Last Name Phone Number* Area Code Phone Number E-mail* Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Reservations Number of Adults* 012345678910 Number of Teens* Age 13-18 0123456 Number of Children* Age 2-12 0123456 Comments Rosh Hashanah Attendance MONDAY ・ SEP 22 7:00 AM Erev RH Shachris Minyan 6:30 PM Mincha & Evening Services 7:00 PM Join us for a delicious Rosh Hashanah dinner with entertainment by Shir Soul Acappella group led by David Ross. Limited Space. $55 Adult / $40 Child / $360 Sponsor Adult Dinner RSVP $55 PP Child Dinner RSVP $40 (Under 10) Dinner Co-Sponsor $360 TUESDAY ・ SEP 23 Option 1 8:30 AM - 11:00 AM A traditional Shacharit Morning Service with Acappella & Torah Reading (Continue with option 2 & 3 for complete services.) Option 2 10:30 AM - 11:20 AM Prayer Highlights with Acappella, Sermon & Shofar Children's Program Option 3 11:30 AM - 1:00 PM Musaf Service with Acappella Option 4 1:15 PM Kiddush Luncheon Option 5 3:30 PM Shofar in the Park & Tashlich Select Options* 1 Morning Service & Torah2 Highlights, Sermon & Shofar Service3 Musaf Service4 Kiddush Luncheon5 Shofar in the ParkNone WEDNESDAY ・ SEP 24 Option 1 8:30 AM - 11:00 AM A traditional Shacharit Morning Service with Acappella & Torah Reading (Continue with option 2 & 3 for complete services) Option 2 10:30 AM - 11:30 AM Prayer Highlights with Acappella, Sermon, Shofar Service Children's program & Shofar Blowing Option 3 11:30 AM - 1:00 PM Musaf Service with Acappella Option 4 1:15 PM Kiddush Luncheon Select Options* 1 Morning Service & Torah2 Highlights, Sermon & Shofar Service3 Musaf Service4 Kiddush LuncheonNone Yom Kippur Attendance WEDNESDAY ・ OCT 1 Option 1 6:00 PM - 8:45 PM Traditional Kol Nidrei Services with Acappella & Sermon THURSDAY ・ OCT 2 Option 2 9:00 AM - 11:45 AM A traditional Shacharit Morning Service & Torah Reading (continue with option 3 and 5 for complete services) Option 3 11:30 AM - 12:30 PM Prayer Highlights with Acappella, Sermon & Yizkor Memorial Service Option 4 11:30 AM - 12:30 PM Children & Parents Children's Program with stories, prayers and game Option 5 12:30 PM - 2:30 PM Traditional Musaf Service Option 6 4:15 PM - 7:17 PM Traditional, Expedited, Mincha and Closing Neilah Services Option 7 7:17 PM Community Break-the-fast Select Options* 1 Kol Nidrei Evening Service2 Morning Service & Torah3 Highlights, Sermon & Yizkor4 Children's Program5 Musaf Service6 Mincha & Closing Neila Service7 Community Break-the-fastNone Donation & Partners High Holiday Donation: $250 PP / $1000 Family - We ask that you donate a sum of your choosing to cover costs of High Holiday services and other vital programs at our Chabad. Partnership Levels: Chabad is an inclusive community which is why we don't have formal membership. Instead, if you value our work, please be our community partner at the highest level and share in every Mitzvah and smile generated. CLICK HERE for a list of new sponsors and partners. Donation* Single $250Family $1000Friend Partnership $1800Mitzvah Partnership $2500Double Chai Partnership $3600Tree of Life Partnership $5400Leader's Partnership $10000Founder's Partnership $18000Other Amount Other* $ High Holiday Security Fee* $36 Per Family Minimum Minimum Security Donation $36Double Security Donation $72 Sponsor 1 Hour $125Sponsor 2 Hours $250Sponsor 3 Hours $375Sponsor Half Day $500Sponsor Full Day $1000 Sukkot Holiday Lulav & Etrog Set $55 SUKKOT FAMILY DINNER Mon・Oct 6・6:00 PM Number of Adults $50 PP Number of Children $36 PP (10 & Under) Payment Total $0.00 Yes, I'd like to donate the cost of processing this transaction by adding 3% Payment* Credit Card Paypal DAF Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration YearPaypal has been selected. Payment will take place on the next page.Billing Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Submit Clear Form Should be Empty: This page uses TLS encryption to keep your data secure.