Tefillah Signup Week of July 12 - Form - Hebrew Institute of Riverdale

* Please confirm that you are in good health and will let us know if something changes:

NoYes1) At this time and to the best of my knowledge I have not been exposed to someone with a positive lab test for Covid-19 in the past 14 days.

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

3) If I develop symptoms or find out I have been exposed to someone with Covid-19 I will let the Bayit office know as soon as possible and will not attend tefillah at the Bayit.

Do you 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

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

* Last Name

* Cell Phone Number

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

* Email Address

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

Please ChooseMen's SectionWomen's Section

Which day or days do you want to join Tefillah (Men)

Please ensure that you are able to attend each tefillah that you reserve.

Technical Note: When someone gives up a slot, the system requires us to increase the limit instead of canceling the reservation fully. Thus when you see "1 of 11" or "2 of 13" it means that a few people gave back their slot, not that there will be additional people at tefilla.

Which day or days do you want to join Tefillah (Women)

Please ensure that you are able to attend each tefillah that you reserve.
NOTE: In order to ensure that as many people who wish to join tefillah b'tzibbur are given that opportunity, those who reserve for multiple tefillot may be required to give back one or more of their slots.

Thank you in advance for your patience and for cooperating with us as we navigate these difficult times together.

I was not able to sign up for tefillah on the day/time I wanted. Please put me on the waiting list if someone cancels.

Let us know which day or days you are available as a backup.

Please select one of the following:

I am not saying KaddishI am an aveil still in shloshimI am an aveil saying Kaddish for a parentI have yahrzeit this weekI am saying Kaddish for a relative or friend other than a parentAttendance will not be limited to those who are saying Kaddish. However, in this time when we are severely limiting the number of people at tefillah, we do wish to extend preference to those with a chiyuv while being open to giving everyone who wishes to participate in tefillah b'tzibbur the opportunity.

Please tell us when you have yahrzeit and for whom?