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Tefilah Signup: Parashat Bo

1) I am reserving a seat for myself and other members of my household of the same gender* who will sit with me in adjoining seats (a "pod").  
2) I will confirm that all members of my party do a health self-assessment prior to attending services. 

"Household" includes both those who live in your home and guests who you interact with indoors without wearing masks.

*A separate form submission is required for each pod, whether men and women from the same household, or two groups of the same gender who require physically distant seating.

Whenever possible we ask those who are attending tefillah to complete this form themselves. Please encourage the person to sign up for themselves.

By filling out this form on someone else's behalf you are confirming that you have reviewed the health assessment with them and they have confirmed their eligibility to join us in person for tefillah.
I have reviewed the health assessment questions with the person I am filling out this form for and affirm that they meet the criteria for attending in-person tefillah at the Bayit. 
I am filling out this form for my spouse, partner or other member of my household  and affirm that I am accurately answering the health screening questions on their behalf.
1) At this time and to the best of my knowledge I/we/they have not been exposed to someone with a positive lab test for Covid-19 in the past 14 days.

2) I/we/they do not currently have a fever over 100 degrees or any symptoms such as loss of taste or smell, difficulty breathing, coughing, headaches or gastrointestinal difficulties.

3) In the past 14 days I/we/they have not traveled outside the United States or to any state for which the State of New York requires a quarantine upon return.

4)  If I/we/they develop symptoms or find out I/we/they have been exposed to someone with Covid-19, I will let the Bayit office know as soon as possible and I/we/they will not attend tefillah at the Bayit.
I understand that attending any prayer service, class or other program at the Bayit is my choice. I therefore release Hebrew Institute of University Heights, dba Hebrew Institute of Riverdale from any and all liability for any unintentional exposure to viral or bacterial infection.
If your name does not auto-fill in this box please take a moment to log in to your account! Login box is in the upper right hand corner of the screen.
By filling out this form you agree to provide your cell phone number and join the WhatsApp group "Bayit Shabbat Tefillah".  

You can now reserve 1x for household members who will be sitting with you!

In order to increase capacity at each tefillah and maintain social distancing, we encourage members of the same household to sit together.  We will maintain our limit of 24 groups of seats on the terrace and 30 in the Sanctuary, but each group can seat up to 3 people and still maintain their distance from other groups.

Please add the names of anyone who will be sitting with you below. Everyone, including children, must be on the list to faciliate contact tracing if necessary.

Thank you for your cooperation
Please only enter ADDITIONAL family members in this field. If you put your own name here, someone has to take the time to erase it.
Please ensure that you are able to attend each tefillah that you reserve.   We especially ask that men arrive on time so that we can be sure to start and finish in a timely fashion to make way for the next group.
Please ensure that you are able to attend each tefillah that you reserve.  

Thank you in advance for your patience and for cooperating with us as we navigate these difficult times together.
Please let us know WHICH service you want to be on the wait list for.
Please do not make the same request multiple times.If you put yourself on the wait list for the same service multiple times, we will delete the first entry, so you will be moving yourself to the back of the line.
Tue, April 13 2021 1 Iyyar 5781