This form is currently closed. Personal Information Full Name* First Name Last Name E-mail* Phone Number* Country Code Area Code Phone Number I Am a* ResidentStudentVisitor When will you be joining us* Friday Night September 11 - 1st night dinnerSaturday Night September 12 - 2d night dinnerSunday Afternoon September 13 - Shofar & Lunch When will you be joining * Friday Night September 11 - 1st night dinnerSaturday Night September 12 - 2d night dinnerSunday Afternoon September 13 - Shofar & Lunch When will you be joining * Friday Night September 11 - 1st night dinnerSaturday Night September 12 - 2d night dinnerSunday Afternoon September 13 - Shofar & Lunch Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM Amount of People attending* The Shabbat you selected is already booked out. Please reach out to Rabbi Levi Braun at +393498347528 for more info or to receive Challot and Wine. 2nd Attendee* First Name Last Name 3rd Attendee* First Name Last Name 4th Attendee* First Name Last Name 5th Attendee* First Name Last Name Valid ID - Please upload one file with all IDs* First time attending - please upload a photo of your ID. Participation - $55 per dinner* Please select the total amount of people attending for both nights Suggesed donation per dinner $36 Please select the total amount of people attending for both nights Suggested donation for lunch $18 Suggested donation per dinner $18 Please select the total amount of people attending for both nights Your partnership is more than a donation, it's what enables us to reach every single Jew and bring the light of Judaism to the city and its surrounding. Please consider partnering with us by sponsoring a guest who can't afford the cost. Co-Sponsor Opportunities: Sponsor a guest - $55Rosh Hashana Supporter - $360Rosh Hashana Partner- $770 Total $0.00 Yes, I'd like to donate the cost of processing this transaction by adding 3% Payment 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 Month2026202720282029203020312032203320342035 Expiration YearBilling 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 I would like to receive news and updates by email Should be Empty: This page uses TLS encryption to keep your data secure.