High Holy Day Registration 5784

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Welcome to High Holy Days Registration with PJTC! We're so glad you'll be joining us.

On this form, you'll be able to:
- register for Rosh Hashanah and Yom Kippur services at PJTC
- register your children for Junior. Congregation
- donate to PJTC's Annual Appeal/pledge to become a Temple Guardian
- order a Book of Remembrance and/or Memorial Plaque (if completed prior to 9/7)
- reserve a lulav & etrog for sukkot (if completed prior to 9/7)

If you need assistance with registration or have financial constraints, please call the office at (626)-798-1161 and we will be happy to assist you. We kindly ask that all members and guests register by September 1. Those who register after September 7 should bring their confirmation email with them to services just to ensure we can assist you upon entry and that you have a name tag (which serves as your ticket).

MEMBERS: Please LOGIN before filling out this form if you wish to bill to your account/pay by check or ACH. In order to LOGIN - look at the top right corner of your screen. You will see a small LOGIN button with an arrow. Fill in your email address and password. If you do not know your password, you can click "change password" and create a new one.

* First Name

* Last Name

* Phone Number

* Email

Are you interested in High Holy Day Services Registration?

No, thank you.Yes, Please show me options.

High Holy Day Registration

For High Holy Days 2023/5784, PJTC will provide links for our services and programs sent to the email address connected with this registration form. If for any reason you are unable to attend in person, you will have access via Zoom and streaming options.

* Whether in person or online, how many people will be attending services? (Please include children in this headcount)

First Name (Person 1)

For security purposes, we need full names for each member of your group.

Last Name

First Name (Person 2)

Last Name

First Name (Person 3)

Last Name

First Name (Person 4)

Last Name

First Name (Person 5)

Last Name

First Name (Person 6)

Last Name

FIrst Name

Last Name

FIrst Name

Last Name

FIrst Name

Last Name

FIrst Name

Last Name

PJTC MEMBERSHIP

Are you currently a member of PJTC?

YesNo

I am not currently a member:

I am interested in becoming a member. Please contact me.I am just visiting.PJTC would love to provide you with the gift of first year membership, which includes free High Holiday general seating tickets for all members of your household. All members are assessed a security fee ($100/single and $200/family) to help ensure the safety of our community, and new members are encouraged but not required to make an additional donation that feels right for them (suggested $125/single and $250/family). But the purpose of a gift membership is to try us out, so we do not require any dues your first fiscal year--if you join before or during the High Holidays to enjoy the benefits of free tickets, that means free dues through June 30. If you are interested in membership, contact Executive Director Melissa Levy, Melissa@pjtc.net

ROSH HASHANAH & YOM KIPPUR SERVICE OPTIONS

In person, online, or a combination of both?

I will be attending services in person.I will be online for servicesBoth, I will be attending a mix of services online and in person.

Suggested Non-Member Donation for Access to Online Services ($180)

Please enter the amount you would like to donate on the line above.

Special Requests?

Ex: Accessible parking (please include make model and license plate of car), accessible seating, immunocompromised/need to be seated only near others wearing masks, etc.

I am staying home and would like to borrow:

Mahzor (the High Holy Days prayer book)Tallit (prayer shawl)Kippot

You can pick up these items on Sunday, September 10 from 930AM-1PM, or during the week when the office is open. If you are unable to come to PJTC or are homebound, we can deliver.

I will pick up Sunday September 10, 9:30am - 1pm, or later that week when the office is open. I understand the office will close at noon on Friday September 15 for Erev Rosh HashanahI need to have it delivered.

Delivery Address:

Address

City

State

Zip

A seating upgrade is a great way to support PJTC!
Our Sanctuary and Social Hall open up to one large room for High Holidays. Looking to be close to the Rabbi, Cantor and other service leaders, and receive an assigned seat? Choose the "Reserved Sanctuary" which provides seating in Galpert Sanctuary. Looking for a more affordable option? Choose Social Hall seating. Members receive free Social Hall seats for those in their household.

RESERVED Ticket Selection:

Reserved Sanctuary - Shomrei Zahav * $0.00

Reserved Sanctuary - Life Seat Holder ** $0.00

Reserved Sanctuary - Life Seat Purchase ** $1800

Reserved Sanctuary - Member $250

Reserved Sanctuary - Guest of Member $350

Reserved Sanctuary - Non-Member/Visitor $400Please select seats for all members of your group, including any children that will not be on your lap.

*Shomrei Zahav are those who generously contribute $10,000+ to PJTC's General Fund annually. 2 Free Reserved Section High Holiday seats are one of many benefits of this donation level.
**Life Seats allow you to have a Reserved Sanctuary seat as long as you or a family member are part of the PJTC community. We will engrave your name on a plaque in front of your seat.

GENERAL SEATING Ticket Selection:

Social Hall - Adult Member Age 13+ $0.00

Social Hall - Member Under Age 13 $0.00

Social Hall - Guest of Member $200

Social Hall - Non-Member/Visitor $250

Are you interested in Volunteering? (Usher, admin support, greeting guests, campus beautification)

No, thank you.Yes, Please show me options.

HIGH HOLY VOLUNTEERING

Interest in being an Usher? (Training provided!)

NoYes

Administrative support prior to the holidays and /or throughout the year?

NoYes

Greeting members and helping them find their name tag?

NoYes

Alphabetizing name tags before and after services?

NoYes

Campus beautification - getting our physical spaces ready for this holy time of year?

NoYes

Regular Set ($55.00)

Deluxe Set ($65.00)

Are you interested in honoring a loved one by ordering a Yahrzeit Plaque?

No, thank you.Yes, Please show me options.If ordered after 9/1, plaques may not be ready for Yom Kippur this year, but will be installed as soon as we receive them from our supplier.

English Name of Deceased

Relationship

of (your name)

English Name of Deceased

Relationship

of (your name)

English Name of Deceased

Relationship

of (your name)

English Name of Deceased

Relationship

of (your name)

MEMORIAL PLAQUE ORDER
When a loved one passes, we keep their memories alive not only in our hearts, but with a permanent commemoration in the form of a bronze plaque, next to the entrance to Galpert Sanctuary. They are lit up during the week of your loved one’s Yahrzeit (the anniversary of their passing) and on Yom Kippur.

Cost is $500 for each plaque

Number of Plaques ordered

English Name of Deceased

Hebrew Name of Deceased

Date of Birth

Date of Death

Insription (Maximum of 30 characters)

English Name of Deceased

Hebrew Name of Deceased

Date of Birth

Date of Death

Insription (Maximum of 30 characters)

English Name of Deceased

Hebrew Name of Deceased

Date of Birth

Date of Death

Insription (Maximum of 30 characters)

English Name of Deceased

Hebrew Name of Deceased

Date of Birth

Date of Death

Insription (Maximum of 30 characters)

Are you interested in Young Family Programming and/or Junior Congregation Registration (PreK-7th grade)?

No, thank you.Yes, Please show me options.

During the Main Services (Rosh Hashanah & Yom Kippur)
You have many options for your children at PJTC!

PreK-7th grade may attend Junior Congregation with a reservation on Erev Rosh Hashanah, Rosh Hashanah Day 1, Erev Yom Kippur, and Yom Kippur morning. Your children can look forward to games, education, singing, and playing (FREE for PJTC members, $36 suggested donation per service for non-members). Junior Congregation is run by our religious school teachers. Adults should bring their children to the main service until Junior Congregation is announced from the bimah. There will be a second announcement from the bimah when Junior Congregation is finished as your children are being brought back to the service to your seats. Approximate timing will be listed in your confirmation email.
Prayground - our outdoor, family-friendly play area where children can play on our play structure while parents/guardians may follow along in the service with our livestream--stop by any time during services!
The Quiet Room - indoor, air conditioned environment for families with very young children who need a break for nursing or quiet time-- adults are able to watch services from the tv provided.
Children are welcome at all times in the main service as long as their adult is with them.

Sign me up for Junior Congregation

No, I do not have children that will be attendingYes, I would like to attend

Please select the number of children attending Junior Congregation (Grades Pre-k to 7):

Name of Child 1

Pronouns

Grade in Secular School

Allergies

Cell number of parent who is attending services.

Name of Child 2

Pronouns

Grade in Secular School

Allergies

Cell number of parent who is attending services.

Name of Child 3

Pronouns

Grade in Secular School

Allergies

Cell number of parent who is attending services.

Name of Child 4

Pronouns

Grade in Secular School

Allergies

Cell number of parent who is attending services.

Family Programming
We also encourage you to join us for a Rosh Hashanah Family Service on Sunday September 17 right before Tashlich offsite (location TBD), a Yom Kippur Family Service at 4pm at PJTC, a Singalong Shabbat in the PJTC Sukkah on Saturday morning October 1 at 10AM, and a DJ'd Simchat Torah Party with food and dancing Sunday Morning October 8. We also have monthly Singalong Shabbat programming for families with children ages 0-7, and other family-friendly events throughout the year.

Would you like to be added to our young family listserve? Open to the entire community!

YesNo

DISABLED/ACCESSIBLE PARKING

ANNUAL APPEAL - LEADING WITH GRATITUDE

We are so glad you are part of the PJTC family.

Less than 40% of PJTC's revenue comes from membership dues. Fundraising is therefore essential. Please contribute to our Annual Appeal. Only through this additional giving can we continue to function as a vital synagogue community, welcoming to all.

Every gift- no matter the amount- is needed, appreciated, and will be put to the very best use. If you are feeling blessed and able, consider joining our Guardians program (those who pledge $1000 or more over and above their dues).

Thank you so very much for your kind consideration.

PAYMENT TYPE
We kindly ask that non members pay by Credit Card. Members must be signed in to Pay by Check, ACH or Bill My Account.

Select your payment method type:

$ (bill my account)

If you are generously donating to our Annual Appeal, please enter the amount of that donation above. This, and rest of your charges from this form will be added together below.
(You must be a PJTC member and signed into your Shulcloud account to use the Bill My Account option. Sign in is located at the top right corner of your screen. Enter the email associated with your PJTC account, and if you are unsure of the password you can create a new one by clicking "change password.")

$ (pay by check) *This option is only available if you are logged in to your account. Select "Bill My Account" on the payment screen and mail in your check..

If you are generously donating to our Annual Appeal, please enter the amount of that donation above. This, and the rest of your charges from this form will be added together below.
(You must be a PJTC member and signed into your Shulcloud account to use the Pay By Check option. Sign in is located at the top right corner of your screen. Enter the email associated with your PJTC account, and if you are unsure of the password you can create a new one by clicking "change password.")

$ (pay by ACH)

If you are generously donating to our Annual Appeal, please enter the amount of that donation above. This and the rest of your charges from this form will be added together below.
(You must be a PJTC member and signed into your Shulcloud account to use the BPay By ACH option. Sign in is located at the top right corner of your screen. Enter the email associated with your PJTC account, and if you are unsure of the password you can create a new one by clicking "change password.")

I authorize PJTC to use the ACH information on my account.

$ (credit card)

Total Amount Due

Any additional comments or questions?

Press the submit button to be directed to the payment page. Members may sign in for additional payment options. If you need assistance logging in or help filling out the form, please contact info@pjtc.net or call the office at 626-798-1161 x 101.

You will receive a detailed itemization in a confirmation email once you submit payment.

We look forward to seeing you soon! Happy new year from all of us at PJTC.

Tue, October 3 2023
18 Tishrei 5784