Are you filling out this form for yourself, or for someone else?

Please Select OneI will be attending servicesI am filling out the form for someone else who lives with me.I am filling out this form for someone else who does not live with me

Please note that if you need seats for men and women you will need to submit this form separately for each group. Please answer the questions below with that in mind.

Please read the information below and click "accept" to proceed

Please Select OneAccept1) 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.

Why are you filling out this form for someone else who is not part of your household?

Please Select OneI am signing up for a friend or relative who has no internet accessOther (please specify)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.

* Please tell us in a few words why you are signing up for a 3rd party.

Please read the information below and click "affirmed" to proceed

Please Select OneAffirmedI 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.

Please read the information below and click "accept" to proceed

Please Select OneacceptI 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.

* Please confirm that you (and/or the people you are registering for) are in good health and will let us know if something changes:

NoYes1) 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.

2) 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.

If you have taken a Covid-19 test and are awaiting the results, or take one between now and Shabbat, please do NOT attend tefillah until your negative test result is confirmed.

If you have not been vaccinated and have been exposed to someone with a confirmed case of Covid-19 in the past 14 days, please do not attend tefillah at the Bayit until the 14 day quarantine has passed.

If you are fully vaccinated current CDC guidelines do not require a quarantine period following exposure as long as you remain asymptomatic. Please be mindful of the health of others when conducting your self-evaluation and if you have any symptoms please err on the side of caution and remain home.

Definitions:

Vaccinated: You have been fully vaccinated (2 shots Moderna/Pfizer or 1 shot Johnson & Johnson plus the appropriate waiting period for full effect) within the past 90 days.
Travel: If you have returned from a trip outside the United States within the past 14 days

* Travel Restrictions

I have travel related restrictionsI have no travel related restrictionsYou have travel related restrictions regardless of vaccination status if:

You have returned from travel outside the United States in the past 14 days*

You have no travel related restrictions if:

You have not traveled outside of New York or surrounding states.
You have only traveled within the United States and are not experiencing any illness symptoms.*

*Per NYS guidelines if you traveled from Canada via a Land Border Crossing you are not subject to quarantine. If you travel via Air from Canada you are subject to quarantine.

Do you and all members of your party, or for whom you are registering, agree to wear a face mask* at all times while you are at the Bayit and wash/sanitize your hands or put on fresh gloves when you arrive?

NoYes*Current guidelines require that masks be either: N95 or KN95 or 2 cloth layers plus a filter. Double masking is also acceptable (i.e. surgical mask + cloth mask).

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.

First Name

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.

Last Name

* Cell Phone Number

By filling out this form you agree to provide your cell phone number and join the WhatsApp group "Bayit Shabbat Tefillah".

* Email Address

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

Name (or names) of OTHER family members who will be sitting with you?

Please note that if you need seats in both the men's and women's sections OR if you have people in your party who will be maintaining physical distancing, you will need to submit this form separately for each pod. Please do NOT list members of your party who will need to sit separately.

Are you reserving a seat in the Men's Section or the Women's Section

Choose 1Men's SectionWomen's Section

Please note that if you need seats on both sides of the mechitza you will need to submit this form separately for each person or group of people in your party.

Friday Night - Men

Please Choose OneFriday 7:08pm (Terrace) - 3 of 15 LeftFriday, 7:08pm (Sanctuary) - 13 of 28 Left

Friday Night Women

Please Choose OneFriday 7:08pm (Terrace) - 6 of 9 LeftFriday, 7:08pm (Sanctuary) - 18 of 22 Left

Shabbat Morning (men)

Please Choose One7:30am Tefillah (Terrace) - 3 of 17 Left8:30am Tefillah (Sanctuary) - 4 of 28 Left9:45am Tefillah (Social Hall) - 7 of 25 Left10:00am Tefillah (Terrace) - Fully BookedPlease 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.

Shabbat Morning Women

Please Choose One7:30am Tefillah (Terrace) - 3 of 7 Left8:30am Tefillah (Sanctuary) - 14 of 22 Left9:45am Tefillah (Social Hall) - 5 of 25 Left10:00am Tefillah (Terrace) - 1 of 12 LeftPlease 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.

Shabbat Afternoon (men)

Please Choose OneShabbat, 7:10pm (Terrace) - Fully Booked

Shabbat Afternoon (women)

Please Choose OneShabbat, 7:10pm (Terrace) - Fully Booked

Wait List Requests:

If the tefillah you wish to attend is fully booked, please put your wait list request above. Please be specific and let us know which service you want to be on the wait list for. If you don't write the day and time of the service you wish to attend you will not be put on the wait list.
Please DO NOT put any names in this box. Please put additional names in the corresponding field above.

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.

Tefillah Signup: Parshiot Tazria - Metzora

Please note that if you need seats for men and women you will need to submit this form separately for each group. Please answer the questions below with that in mind.

*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.

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

Please note that if you need seats in both the men's and women's sections OR if you have people in your party who will be maintaining physical distancing, you will need to submit this form separately for each pod. Please do NOT list members of your party who will need to sit separately.

Please note that if you need seats on both sides of the mechitza you will need to submit this form separately for each person or group of people in your party.