High Holy Days Member Break the Fast Registration 2025/5786 - Form

We look forward to sharing
High Holy Days 2025/5786 with you all.

Please use this form to register for Yom Kippur Break the Fast meal, and/or to make a Break the Fast Sponsorship Donation.

We look forward to celebrating with you and appreciate your support.

To view the full High Holy Day Schedule, click here.

As a member, you only need to fill out this registration form to register for Break the Fast. Reservations need to be in by Thursday, September 25.

COVID policy:
Anyone feeling ill is asked to please stay home and enjoy services online.

Please list first and last names, each name separated by a comma, of all TES member adults who will be attending.

Example: John Doe, June Doe

Please list first and last names and child's age, each name separated by a comma.

Example: Joey Doe, age 9. If none, please out N/A.

If you would like a confirmation email, please fill in your email.

Non-Member Guests

Do you have any non-members joining you?

How many adults?

How many children?

Please specify which services your guest(s) would like to attend.

Adult Guest 1 First Name

Adult Guest 1 Last Name

Adult Guest 1 Email Address

Adult Guest 1 Mobile Phone

Erev Rosh Hashanah, Monday, 9/22 at 7 pmRosh Hashanah, Day 1, Tuesday, 9/23 at 9:30 amKol Nidre, Wednesday, 10/1 at 7 pmYom Kippur Morning, Thursday, 10/2 at 9:30 amBreak the Fast, Thursday, 10/2 at sunset

Adult Guest 2 First Name

Adult Guest 2 Last Name

Adult Guest 2 Email Address

Adult Guest 2 Mobile Phone

Child 1 name and age

Child 2 name and age

Erev Rosh Hashanah, Wednesday, 10/2 at 7 pmRosh Hashanah, Day 1, Thursday, 10/3 at 9:30 amKol Nidre, Friday, 10/11 at 7 pmYom Kippur Morning, Saturday, 10/12 at 9:30 amBreak the Fast, Saturday, 10/12 at sunset

Guest(s) Address

* Address

Address line 2

* City

* State

* Zip

Break the Fast Sponsorship

Please consider honoring the High Holy Days season by becoming a Break-the-Fast sponsor in honor or memory of friends or loved ones. If you’d like to become one of our sponsors, please complete the following information.

Break the Fast Sponsor. Please indicate the amount of your scholarship.

Would you like to add a "in honor of" or "in memory of"?

Please enter their name(s) and "in honor of" or "in memory of" here:

Example: In honor of John Doe. In memory of Jane Doe.

If you prefer to pay by check, please send it to:

Temple Emek Shalom
Attn: Break the Fast
PO Box 1077
Ashland, OR 97520

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