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High Holiday 5783 Reservations for Non-Members

Non-Member Reservation Form
Please take a few moments to complete and submit your registration for the Holidays.  Please complete and submit your registration by September 19, 2022.  If you prefer a paper form emailed to you, please contact the office at to request a paper registration form.
  • Please complete Section A listing you, your spouse and dependent children who over the age of 12.  The cost to attend the holidays is $250 per adult and that includes both Rosh Hashanah and Yom Kippur.  We do not prorate the guest fee by Holiday.
Please select the total number of adult seats (ages 13 and over) you will need.  The cost is $250 per person.  
Please complete the section below with the names of those attending, which location a seat is needed (i.e. men's or women's section), and which Holiday(s) each person will be attending
  • Name Column - please type the names of each adult attending in Name column.
  • Location Column - please select from the drop down box if they will need a seat in the Men's or Women's section.
  • When Column - please select which Holiday Days they will be attending from the When Column (click on the small up/down arrow in the upper corner of the box and select the holidays each person will be attending).
Seating Requests
  * Name Location When Notes
Please click Submit and you will be taken to the Payment Selection Window.  You may choose one of the following payment methods.  Click Confirm and Continue after selecting your payment option.
  • Congregation Adat Yeshurun - if you select this option you will be taken to a new window where you will enter your credit card information for payment.
  • Congregation Adat Yeshurun eCheck - if you select this option you will be taken to a new window in which you will enter your bank account information and authorize an eCheck payment sent to Adat Yeshurun.
Mon, June 5 2023 16 Sivan 5783