High Holiday Registration 5783

High Holiday Registration 5783 (2022)

This for is for credit-card payment only. To register and pay by check, click here.

First Name*

Last Name*

Email*

Street*

Street 2 (Apt or Suite)

City*

State*

---select state---

Please select
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

ZIP Code*

Phone*

Adults: Returning Attendees

For those who are not members and have joined us at Aish for the High Holidays in years past.

Rosh Hashanah & Yom Kippur: $150*

0

Rosh Hashanah Only, $100*

0

Yom Kippur Only: $100*

0

Teens (13+): Returning Attendees

For those who are not members and have joined us at Aish for the High Holidays in years past.

Rosh Hashanah & Yom Kippur: $75*

0

Rosh Hashanah Only, $50*

0

Yom Kippur Only: $50*

0

Adults & Teens: First-Time Attendees

For those who are not members and are joining us at Aish for the High Holidays for the first time.

Rosh Hashanah & Yom Kippur: FREE*

0

Rosh Hashanah Only: FREE!*

0

Yom Kippur Only: FREE!*

Children 12 and under: FREE!

Rosh Hashanah, 1st Day*

0

Rosh Hashanah, 2nd Day*

0

Yom Kippur Only (Daytime Only)*

0

Please list the names and ages of children attending.*

Would you like to cover the 3% credit-card processing fee?

Add processing fee

Card Number*

Expiration Month*

- please select -

Please select
January
February
March
April
May
June
July
August
September
October
November
December

Expiration Year*

- please select -

Please select
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032

CVC*