Your Info

First Name
Last Name
Address
City
State
Zip Code
Phone
Email

Seat Reservations

Amount Adult Attendees
Amount of Children Attendees
Adult Name 1
Child Name & Age 1
Adult Name 2
Child Name & Age 2
Adult Name 3
Child Name & Age 3
Adult Name 4
Child Name & Age 4
Adult Name 5
Child Name & Age 5
Adult Name 6
Child Name & Age 6
High Holiday Services I plan to attend
Please check all that apply.
Rosh Hashanah Eve | Sunday, September 9
Community Dinner - RSVP Here   
Rosh Hashanah Day 1 | Monday, September 10
Rosh Hashanah Day 2 | Tuesday, September 11
   
Yom Kippur | September 18 - 19
Mi Shebeirach Prayer for Healing
Please include the names of those who you would like mentioned by the Torah for healing from illness.  Traditionally, when praying for healing we include a person's Hebrew name and their mother's Hebrew name. English names can be used when the Hebrew name isn't available. 
Yizkor  Memorial Prayer
Please include the names of my loved ones to be included in the Yizkor Service. Traditionally, for Yizkor we include a person's Hebrew name and their father's Hebrew name. English names can be used when the Hebrew name isn't available. 

Optional Donation

Suggested donation: $100/Per Person.
There is no cost to pray with Chabad. No one will be turned away due to lack of funds.

Chabad is committed to strengthening Jewish identity, unity and commitment. However, we cannot do this alone. We count on you for your benevolence, generosity and sensitivity to the needs of the community. Thank you for being our partner!

Chabad of Altamonte Springs depends heavily on New Year donations for its annual budget. No person will be turned away due to inability to pay. Every Jew, without exception, is welcome!

$3,000 - Rosh Hashana Partner
$1,800 - Yom Kippur Partner        
$1,000 - High Holidays Kids Adventure        
$750 - Yom Kippur Break Fast         
$540 - Rosh Hashana Lunch          
$360 - Prayer Giver        
$180 - Honey Giver        
$100 - Apple Giver 
Other:
Sponsor Holiday Prayerbooks
I would like to sponsor
in honor / memory of
($25 per prayerbook)

Payment Info

Card Number
Expiration
CVV Code
Total Amount to Charge Card
$
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