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RSVP for Shabbat Services 4/24
Please verify reCaptcha before submitting the form.
Making a reservation does not guarantee attendance.
Only those who receive a confirmation should attend in person.
First Name
Last Name
Temple Sinai Member?
Please select one
Yes
No
Sorry, only accepting Temple Sinai members in person at this time
E-Mail Address
Phone Number
Number of Attendees (Only open to Temple Sinai Members at this time)
The following members of my household will be attending with me:
Each attendee please sign in the box below with your Full Name(s):
I have read the Waiver and Release of Liability Relating to Coronavirus/COVID-19 below:
IN-PERSON ATTENDEES MUST COMPLETE THIS WAIVER AND
SUBMIT UPON ENTRY TO THE TEMPLE
Waiver and Release of Liability Relating to Coronavirus/COVID-19
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is reported to be extremely contagious. The state of medical knowledge is evolving, but the virus is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air. People reportedly can be infected and show no symptoms and therefore spread the disease. Evidence has shown that COVID-19 can cause serious and potentially life-threatening illness and even death.
Temple Sinai cannot prevent you or your children from becoming exposed to, contracting, or spreading COVID-19 while utilizing Temple Sinai’s services or premises. It is not possible to prevent against the presence of the disease. Therefore, if you choose to utilize Temple Sinai’s services and/or enter onto Temple Sinai’s premises you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19.
ASSUMPTION OF RISK
: I have read and understood the above warnings concerning COVID-19. I hereby choose to accept the risk of contracting COVID-19 for myself and/or my children in order to utilize Temple Sinai’s services and enter Temple Sinai’s premises. These services are of such value to me and/or to my children, that I accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to utilize Temple Sinai’s services and premises in person.
WAIVER OF LAWSUIT/LIABILITY
: I hereby forever release and waive my right to bring suit against Temple Sinai and its owners, officers, directors, managers, officials, trustees, agents, employees, or other representatives in connection with exposure, infection, and/or spread of COVID-19 related to utilizing Temple Sinai’s services and premises. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.
CHOICE OF LAW
: I understand and agree that the law of the State of Florida will apply to this contract.
IN-PERSON ATTENDEES MUST COMPLETE THIS QUESTIONNAIRE AND
SUBMIT UPON ENTRY TO THE TEMPLE
Health Questionnaire
Please read the following statements and check to indicate your agreement. If you cannot positively affirm to these questions, you will be asked to postpone or reschedule your visit to a later date.
I do not currently, nor have I had in the last two weeks, nor does anyone in my household have/had, a fever, cough, sore throat, loss of smell/taste, difficulty breathing, muscle aches, nausea, vomiting, diarrhea, chills, nasal congestion, or other cold symptoms.
I do not currently, nor have I had in the last two weeks, nor does anyone in my household have/had, a fever, cough, sore throat, loss of smell/taste, difficulty breathing, muscle aches, nausea, vomiting, diarrhea, chills, nasal congestion, or other cold symptoms.
To the best of my knowledge, I, nor anyone in my household, do not have, nor have I/we been in direct contact with someone who has confirmed diagnosis of COVID
To the best of my knowledge, I, nor anyone in my household, do not have, nor have I/we been in direct contact with someone who has confirmed diagnosis of COVID
Please respond Yes or No to the following:
Have you, or any member of your family, tested positive for Covid-19 within the last 30 days OR are you, or any member of your family, currently waiting for your Covid-19 test results? If the answer is yes - please contact Rosanne Mendelowitz, Executive Director, to provide further details to determine if you are able to attend services at this time.
Yes
No
I HAVE ANSWERED THE HEALTH QUESTIONNAIRE ABOVE HONESTLY AND TO THE BEST OF MY KNOWLEDGE. I HAVE ALSO CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS RELEASE, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE. I ALSO UNDERSTAND THAT TEMPLE SINAI HAS THE RIGHT TO DENY MY ACCESS THE SERVICES OR BUILDING IF IT FEELS, IN ITS DISCRETION, THAT ALLOWING ME ACCESS MAY ENDANGER OTHERS.
First & Last Name for each Adult Attendee:
Today's Date:
Email Address:
I am the parent or legal guardian of the following minor:
I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Release.
Full Name of parent/legal guardian:
Today's Date:
E-Mail Address:
Fri, May 2 2025 4 Iyyar 5785