High Holiday Registration Form

Your Info

First Name *

Last Name *

Email *

Your Fee Level *

Adult - $120 per holiday

Young Adult - $72 per holiday

I cannot afford to pay the full amount at this time - $18

Attendance

Please select which holiday you are registering for *

Yom Kippur 2023 - September 24

Please select which Rosh Hashana services you are planning to attend *

RH Night #1 Evening Service - September 15, 2023 | 7:30 PM

RH Day #1 Morning Service - September 16, 2023 | 9:30 AM

RH Day #1 Kids Program - September 16, 2023 | 11:00 AM - 1:00 PM

RH Night #2 Evening Service - September 16 | 8:30 PM

RH Day #2 Morning Service - September 17 | 9:30 AM

RH Day #2 Kids Program - September 17, 2023 | 11:00 AM - 12:00 PM

RH Day #2 Shofar Service - September 17, 2023 | 12:00 PM

RH Day #2 Tashlich & Shofar On Pier 46 - September 17, 2023 | 4:00 PM

Please select which Yom Kippur services you are planning to attend *

Yom Kippur Evening Service - September 24, 2023 | 6:45 PM - 8:45 PM

Yom Kippur Morning Service - September 25, 2023 | 9:30 AM

Yom Kippur Kids Program - September 25, 2023 | 11:00 AM - 12:00 PM

Yizkor Memorial Service - September 25, 2023 | 12:30 PM

Mincha & Neilah - September 25, 2023 | 5:15 PM

Lavish Break Fast - September 25, 2023 | 7:45 PM

How many additional participants will be joining you?

Including both kids and adults

Additional Participant

First Name *

Last Name *

Participant Fee Level *

Adult - $120 per holiday

Young Adult - $72 per holiday

Child - $0

I cannot afford to pay the full amount at this time - $18

Attendance

Please select which holiday this participant is registering for *

Rosh Hashana 2023 - September 15

Yom Kippur 2023 - September 24

Please select which Rosh Hashana services this participant plans to attend *

RH Night #1 Evening Service - September 15, 2023 | 7:30 PM

RH Day #1 Morning Service - September 16, 2023 | 9:30 AM

RH Day #1 Kids Program - September 16, 2023 | 11:00 AM - 1:00 PM

RH Night #2 Evening Service - September 16 | 8:30 PM

RH Day #2 Morning Service - September 17 | 9:30 AM

RH Day #2 Kids Program - September 17, 2023 | 11:00 AM - 12:00 PM

RH Day #2 Shofar Service - September 17, 2023 | 12:00 PM

RH Day #2 Tashlich & Shofar On Pier 46 - September 17, 2023 | 4:00 PM

Please select which Yom Kippur services this participant plans to attend *

Yom Kippur Evening Service - September 24, 2023 | 6:45 PM - 8:45 PM

Yom Kippur Morning Service - September 25, 2023 | 9:30 AM

Yom Kippur Kids Program - September 25, 2023 | 11:00 AM - 12:00 PM

Yizkor Memorial Service - September 25, 2023 | 12:30 PM

Mincha & Neilah - September 25, 2023 | 5:15 PM

Lavish Break Fast - September 25, 2023 | 7:45 PM

Additional Participant 2

First Name *

Last Name *

Participant Fee Level *

Adult - $120 per holiday

Young Adult - $72 per holiday

Child - $0

I cannot afford to pay the full amount at this time - $18

Attendance

Please select which holiday this participant is registering for *

Rosh Hashana 2023 - September 15

Yom Kippur 2023 - September 24

Please select which Rosh Hashana services this participant plans to attend *

RH Night #1 Evening Service - September 15, 2023 | 7:30 PM

RH Day #1 Morning Service - September 16, 2023 | 9:30 AM

RH Day #1 Kids Program - September 16, 2023 | 11:00 AM - 1:00 PM

RH Night #2 Evening Service - September 16 | 8:30 PM

RH Day #2 Morning Service - September 17 | 9:30 AM

RH Day #2 Kids Program - September 17, 2023 | 11:00 AM - 12:00 PM

RH Day #2 Shofar Service - September 17, 2023 | 12:00 PM

RH Day #2 Tashlich & Shofar On Pier 46 - September 17, 2023 | 4:00 PM

Please select which Yom Kippur services this participant plans to attend *

Yom Kippur Evening Service - September 24, 2023 | 6:45 PM - 8:45 PM

Yom Kippur Morning Service - September 25, 2023 | 9:30 AM

Yom Kippur Kids Program - September 25, 2023 | 11:00 AM - 12:00 PM

Yizkor Memorial Service - September 25, 2023 | 12:30 PM

Mincha & Neilah - September 25, 2023 | 5:15 PM

Lavish Break Fast - September 25, 2023 | 7:45 PM

Additional Participant 3

First Name *

Last Name *

Participant Fee Level *

Adult - $120 per holiday

Young Adult - $72 per holiday

Child - $0

I cannot afford to pay the full amount at this time - $18

Attendance

Please select which holiday this participant is registering for *

Rosh Hashana 2023 - September 15

Yom Kippur 2023 - September 24

Please select which Rosh Hashana services this participant plans to attend *

RH Night #1 Evening Service - September 15, 2023 | 7:30 PM

RH Day #1 Morning Service - September 16, 2023 | 9:30 AM

RH Day #1 Kids Program - September 16, 2023 | 11:00 AM - 1:00 PM

RH Night #2 Evening Service - September 16 | 8:30 PM

RH Day #2 Morning Service - September 17 | 9:30 AM

RH Day #2 Kids Program - September 17, 2023 | 11:00 AM - 12:00 PM

RH Day #2 Shofar Service - September 17, 2023 | 12:00 PM

RH Day #2 Tashlich & Shofar On Pier 46 - September 17, 2023 | 4:00 PM

Please select which Yom Kippur services this participant plans to attend *

Yom Kippur Evening Service - September 24, 2023 | 6:45 PM - 8:45 PM

Yom Kippur Morning Service - September 25, 2023 | 9:30 AM

Yom Kippur Kids Program - September 25, 2023 | 11:00 AM - 12:00 PM

Yizkor Memorial Service - September 25, 2023 | 12:30 PM

Mincha & Neilah - September 25, 2023 | 5:15 PM

Lavish Break Fast - September 25, 2023 | 7:45 PM

Additional Participant 4

First Name *

Last Name *

Participant Fee Level *

Adult - $120 per holiday

Young Adult - $72 per holiday

Child - $0

I cannot afford to pay the full amount at this time - $18

Attendance

Please select which holiday this participant is registering for *

Rosh Hashana 2023 - September 15

Yom Kippur 2023 - September 24

Please select which Rosh Hashana services this participant plans to attend *

RH Night #1 Evening Service - September 15, 2023 | 7:30 PM

RH Day #1 Morning Service - September 16, 2023 | 9:30 AM

RH Day #1 Kids Program - September 16, 2023 | 11:00 AM - 1:00 PM

RH Night #2 Evening Service - September 16 | 8:30 PM

RH Day #2 Morning Service - September 17 | 9:30 AM

RH Day #2 Kids Program - September 17, 2023 | 11:00 AM - 12:00 PM

RH Day #2 Shofar Service - September 17, 2023 | 12:00 PM

RH Day #2 Tashlich & Shofar On Pier 46 - September 17, 2023 | 4:00 PM

Please select which Yom Kippur services this participant plans to attend *

Yom Kippur Evening Service - September 24, 2023 | 6:45 PM - 8:45 PM

Yom Kippur Morning Service - September 25, 2023 | 9:30 AM

Yom Kippur Kids Program - September 25, 2023 | 11:00 AM - 12:00 PM

Yizkor Memorial Service - September 25, 2023 | 12:30 PM

Mincha & Neilah - September 25, 2023 | 5:15 PM

Lavish Break Fast - September 25, 2023 | 7:45 PM

Additional Participant 5

First Name *

Last Name *

Participant Fee Level *

Adult - $120 per holiday

Young Adult - $72 per holiday

Child - $0

I cannot afford to pay the full amount at this time - $18

Attendance

Please select which holiday this participant is registering for *

Rosh Hashana 2023 - September 15

Yom Kippur 2023 - September 24

Please select which Rosh Hashana services this participant plans to attend *

RH Night #1 Evening Service - September 15, 2023 | 7:30 PM

RH Day #1 Morning Service - September 16, 2023 | 9:30 AM

RH Day #1 Kids Program - September 16, 2023 | 11:00 AM - 1:00 PM

RH Night #2 Evening Service - September 16 | 8:30 PM

RH Day #2 Morning Service - September 17 | 9:30 AM

RH Day #2 Kids Program - September 17, 2023 | 11:00 AM - 12:00 PM

RH Day #2 Shofar Service - September 17, 2023 | 12:00 PM

RH Day #2 Tashlich & Shofar On Pier 46 - September 17, 2023 | 4:00 PM

Please select which Yom Kippur services this participant plans to attend *

Yom Kippur Evening Service - September 24, 2023 | 6:45 PM - 8:45 PM

Yom Kippur Morning Service - September 25, 2023 | 9:30 AM

Yom Kippur Kids Program - September 25, 2023 | 11:00 AM - 12:00 PM

Yizkor Memorial Service - September 25, 2023 | 12:30 PM

Mincha & Neilah - September 25, 2023 | 5:15 PM

Lavish Break Fast - September 25, 2023 | 7:45 PM

Chabad West Village