Shaarei Shomayim - Minyan Yom HaAtzmaut Tefillah Chagigit Wednesday Apr. 14 8:30 PM - Form

Thank you for registering for minyan Yom HaAtzmaut Tefillah Chagigit attendance at Shaarei Shomayim.

Services are currently for members, or clergy members of Shaarei Shomayim, provided that they pre-register and commit to compliance with our health and safety guidelines.

Health and Safety Reminder
Individuals experiencing any flu-like or COVID-19 symptoms (fever, cough, muscle aches, tiredness, difficulty breathing, sore throat, diarrhea, conjunctivitis, or loss of smell or taste) must refrain from attending. In addition, if you have been exposed to anyone with COVID-19 or travelled outside the country within the past fourteen days, you may not attend. Individuals over the age of 65, individuals immuno-compromised or have a chronic condition that would make them more likely to have complications from COVID-19, should consult their physician before attending. These guidelines are in line with current public health recommendations.

If you have questions or need help completing the form, please contact Nicole Toledano at 416-789-3213 or by email at nicole@shomayim.org.org.

Please note a separate form MUST be submitted for each person planning to attend.

The safety protocols that our shul have put into place will provide the highest level of safety possible under the circumstances. However, it is important to know that it is absolutely impossible to absolutely eliminate risk. Please click here to read the complete Release and Waiver of Liability relating to Coronavirus/ COVID‐19.

* Are you a member, or a clergy member of Shaarei Shomayim?

Please Select OneYesNo

* I agree to wear a mask covering my mouth, nose and chin at all times while in and around the building.

Please Select OneYesNo

* Are you saying Kaddish, and are therefore a Chiyuv to attend Minyan

Please Select OneYesNoPlease note that preference will be given to those that are saying Kaddish, and are a Chiyuv to attend Minyan

* 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

* Please select one of the following options

Please Select OneI have travelled outside of Canada in the last 14 daysI have been in contact with someone who travelled outside of Canada in the last 14 daysNone of the above

* I am committed to attend the Minyan I select, and I will bring my own siddur, chumash and tallit (for men).

Please Select OneYesNo

* I agree to each statement above and understand that attending any minyan at Shaarei Shomayim is my choice. I have read the above Release and Waiver of Liability Relating to Coronavirus/COVID‐19. By submitting my registration for services, I confirm that I have read, understand, and agree to all the terms and provisions of this Release and Waiver of Liability Relating to Coronavirus/COVID‐19.

Please Select OneYesNo

* Are you a Man or a Woman?

Please Select OneI am a ManI am a Woman

* Please select one of the following options

Please Select OneI am over 10 years old

* Please select one of the following

Please Select OneI am over 10 years old

Unfortunately, you are not eligible to attend an in-person minyan at Shaarei Shomayim. Thank you for your interest. Please note that weekday services are available on Zoom. If you have further questions, please contact Nicole Toledano at 416-789-3213, or nicole@shomayim.org.

* First Name

* Last Name

* Email

* Phone Number

* Please check which minyan/s you would like to register for.

Maariv Yom HaAtzmaut Tefillah Chagigit Wednesday Apr. 14 8:30 PM