5783 High Holy Day Registration Form - Form

IF YOU ARE A MEMBER, PLEASE LOGIN.

This will insure proper credit to your account. Login at the top right corner. If you are accessing this form through your phone, click the 3 line menu at the top right corner.

Please utilize the sections below to indicate ALL the names for whom you will be requesting tickets as you would like them to appear on a nametag.

This includes dependent children through age 22 as of July 1, 2023.

Personal Information

* First Name

* Last Name

* Address Line 1

Address Line 2

* City

* State

* Zip Code

* Email Address 1

Home Phone

Cell Phone 1

Family Members

Is there a second Adult in your household?

NoYes

Adult 2 First Name

Adult 2 Last Name

Email Address 2

Number of children (under 22) in your household:

Child 1 Name

Child 1 Grade (secular school - Fall 2022)

Child 1 Age

Child 2 Name

Child 2 Grade (secular school - Fall 2022)

Child 2 Age

Child 3 Name

Child 3 Grade (secular school - Fall 2022)

Child 3 Age

Child 4 Name

Child 4 Grade (secular school - Fall 2022)

Child 4 Age

Non-Member / Guest Information

NON-MEMBERS: Please use this section to indicate your ticket needs. If you decide to join Har Shalom before December 31, 2022, we will apply the cost of these tickets towards your membership commitment costs.

NOTE: Non-member tickets are intended for visiting guests, those intersted in joining our synagogue, or family members of current Har Shalom Members. These tickets are not available to former members of the Congregation. Please reach out to Carly Litwok, carly@harshalom.org, if you have any questions.

Would you like to purchase additional tickets?

NoYes

Independent Adult Children (Ages 23-30) ($100):

Non Member Tickets (Residing Outside the DC Area) ($180):

Non Member Youth (Ages 2-22) ($75):

Non Member Tickets (Residing In the DC Area) ($254):

Guest Name 1

Guest Name 2

Guest Name 3

Guest Name 4

Guest Name 5

Guest Name 6

Please email Carly to make arrangements for additional tickets if you plan to have more than 6 Guests.

Interested in Young Family, Youth & Teen Opportunities for your Guests?

NoYes

Ticket Information

SERVICE LOCATIONS & DESCRIPTIONS:

Burke Sanctuary Service: Will reflect all the major components of the High Holy Day service. It will be a more concise worship experience, similar to past years. This service will also be available via LiveStream.

Cahan Sanctuary Service (formerly the Paul Family Social Hall Service): Will feature more traditional High Holy Day prayers and readings, with some modifications.

SERVICE SCHEDULE:

Erev Rosh Hashanah (Sunday, September 25)

6:30PM | Burke Sanctuary Service (Raskin/Ozur Bass/Simmons)

Rosh Hashanah Day 1 (Monday, September 26) & Yom Kippur (Thursday, October 5)

8:30AM - 9:00AM | *NEW* Meditation & Centering (Simmons)

8:30AM | Cahan Sanctuary Service (Elson/Cahan) | Sermon: Elson

9:00AM | Burke Sanctuary Service (Raskin/Ozur Bass) | Sermon: Raskin

Rosh Hashanah Day 2 (Tuesday, September 27)

9:00AM | Burke Sanctuary Service (Raskin/Ozur Bass) | Sermon: Simmons

Kol Nidre (Wednesday, October 4)

6:15PM | Burke Sanctuary Service (Raskin/Ozur Bass) | Sermon: Simmons

Please indicate your attendance plans...

In Person at Har ShalomFamily Service ONLYStream from home

I/We plan to attend services at Har Shalom and my preference (although not guaranteed) is:

I/We would like to be seated in a Masked Section for services:

Please Select OneYesNo

Total planning to attend 8:30AM Centering & Meditation with Rabbi Simmons:

Total planning to attend Kol Nidre Services in person:

Young Family, Youth & Teen Opportunities

YOUNG FAMILY, YOUTH & TEEN SERVICE SCHEDULE:

Rosh Hashanah Day 1 (Monday, September 26) & Yom Kippur (Thursday, October 5)

9:00AM - 9:45AM | Gan Yom Tov Young Families Service for families with children 5 and under with Rabbi Rachel Simmons

10:00AM - 10:45AM | Family Service for students K- Grade 3 with their guardians/siblings

Rosh Hashanah - Rabbi Rachel Simmons / Yom Kippur - Ruth Szykman, Religious School Director

10:00AM - 10:45AM | Youth Service for students Grades 4-7; guardians/siblings optional

Rosh Hashanah - Ruth Szykman, Religious School Director / Yom Kippur - Rabbi Rachel Simmons

10:00AM - 10:45AM | Teen Program for students Grades 8-12 with Samantha Haas, Youth Coordinator

11:00AM - 12:30PM | Grade Level Youth Groups for students K - Grade 7 (registration required)

Rosh Hashanah Day 2 (Tuesday, September 27)

9:00AM - 9:45AM | Gan Yom Tov Young Families Service for families with children 5 and under with MollyBeth Rushfield

12:00PM | Teen Meet & Greet for students Grades 8-12 with Rabbi Rachel Simmons

Kol Nidre (Wednesday, October 4)

6:45PM | Family Service for students pre-K - Grade 3 with their guardians/siblings with MollyBeth Rushfield

I/We plan to attend the following services/programs geared towards families and students (Please indicate the total number of family members attending below):

Young Families Service (families with children 5 and under)

Join us for a fun and engaging service at Gan Yom Tov. We’ll sing, dance, enjoy story time and make the holidays meaningful for young children.

Family Service (students Grades K-3 with their guardians/siblings)

Join us for a family service filled with High Holy Day songs and prayers and a chance to hear the shofar.

Youth Service (students Grades 4-7; guardians/siblings optional)

Join us for a service filled with songs, stories and a chance to take a deeper dive into the holiday.

Grade Level Youth Groups (students Grades K-7)

These programs offer grade level fun and engaging opportunities for our children to celebrate the High Holy Days with their friends. Registration Required; NO drop-ins.

Rosh Hashanah Day 1 - Teen Program (students Grades 8-12)

Join Samantha Haas, Youth Coordinator, for interactive, thought-provoking morning program just for teens.

Rosh Hashanah Day 2 - Teen Meet & Greet (students Grades 8-12)

Join us for apples, honey, and a Meet & Greet with Rabbi Simmons

Kol Nidre Family Service (students Grades preK-3 with their guardians/siblings)

Join us for a family service filled with High Holy Day songs and prayers for Kol Nidre.

NOTE: This year, babysitting will be in the Ira & Maryjo Sherman ECC. Information will be shared with current Sherman ECC families from Morah Beth. For other families interested, please reach out to Beth Hoch directly to inquire about availability.

Reciprocal Ticket Information

Please indicate the first name(s) and last name(s) of your visitors who will be sending in a letter of reciprocity from their own synagogue.

Visitor 1

Visitor 2

Visitor 3

Visitor 4

If you need a letter of reciprocity to be sent to another synagogue, please provide us with the synagogue's name, address, and with whom you will be visiting.

Har Shalom Family's Name

Synagogue Name

Synagogue City & State

Whom will you be visiting?

Parking Purchase

Would You Like to Reserve A Parking Spot ($500)?

NoYes

Win a Prime Parking Space for the High Holy Days! Buy your raffle tickets to win one of two Reserved Parking Spaces at Congregation Har Shalom for the High Holy Days. How many HHD Parking Raffle Tickets would you like to purchase?

Spaces will be awarded and winner will be notified by August 30.

Usher Information

If your last name falls between "L" through "Z", we ask that adult family member(s) serve as an usher - more than one is welcomed. Usher positions are assigned as ticket requests are received - first-come/first-served. Please select from the below service options.

Honors Request

Honors Request for Adult 1

No thank youYes, I would prefer an Honor in HebrewYes, I would prefer an Honor in EnglishPlease indicate if you would like an honor and if you prefer English or Hebrew

Notes:

Honors Request for Adult 2

No thank youYes, I would prefer an Honor in HebrewYes, I would prefer an Honor in EnglishPlease indicate if you would like an honor and if you prefer English or Hebrew

Notes:

Accommodations Requests

Please indicate if you have an accommodations request.

NoYes

Request For Adult 1 - Please mark all accommodations that will be needed.

Request For Adult 2 - Please mark all accommodations that will be needed.

Sounding the Shofar

Interested in sounding the shofar during services this year?

NoI would like to learn to sound the shofar.I have sounded the shofar before (audition required).Please contact Hazzan Ozur Bass at hozurbass@harshalom.org to schedule an audition time.

Mahzor Request

I would like to purchase a Mahzor Lev Shalem (published by the Rabbinical Assembly) from Har Shalom.

NoYesSomeone from the office will contact you to arrange a pick-up from Har Shalom.

NOTE: A very limited number of Mahzorim are available to borrow at Har Shalom.

Mahzors

Regular Edition ($54)

Large Print Hardcover Edition ($84)

Honey Fundraiser for the Sherman ECC

Click HERE to order honey to support the Ira & Maryjo Sherman Early Childhood Center at Har Shalom!

ORT America's "Honey from the Heart" program is the sweet way to raise money and help transform lives and improve the world through education.

Questions? Email honeysale@harshalom.org.

Sukkot - Lulav & Etrog

Lulav & Etrog Order

Standard ($60)

Deluxe ($70)

Premium ($85)The synagogue office will notify you when your order is ready for pick-up.

Sukkot - Men's Club Sukkah Kits

For over 10 years Men’s Club at Har Shalom has built and offered Sukkah Kits for congregants and their families. Now you too, can perform the mitzvah of building and dwelling in your own home Sukkah. Our kits are easy to assemble and store. The Sukkah is 8’ x 10’ x 7’ high. Order kits for yourself, or as a gift for others. Click here more details!

Orders must be received by Thursday, Sept. 15. Pick-up at Har Shalom at 9:15 AM to Noon on Sunday, Oct. 2.

If you prefer to mail payment by check, please print and complete this PDF order form for your Men's Club Sukkah Kits!

Number of Men's Club Sukkah Kits you wish to order:

($379 each)

The Yizkor Book, 5783 (2022-2023)

The Yizkor Book (Book of Remembrance) is available at the Yom Kippur Yizkor Service as well as Yizkor Services throughout the year. To be included in this year's book, entries must be received by Thursday, August 25.

Last year's Book of Remembrance can be viewed at www.HarShalom.org/BOR.

Please complete your entry as you would like it to appear in this year's book or confirm/modify the information from last year's entry. Here are examples of some of the styles used:

Member	In Memory Of
Fred & Sue Klein	Charles & Sylvia Klein
The Klein Family	Sylvia & Charles Klein
The Fred Klein Family	Their Parents
Fred Klein & Sue Cohen	Charles & Sylvia Klein Fred & Janet Cohen
Mr. & Mrs. Klein	Charles Klein Sylvia Klein Fred Cohen Janet Cohen

Yizkor Book Entry - to view last year's Book of Remembrance online, go to www.harshalom.org/BOR

No, I/We do not wish to have an entry in the book this year.Yes, please keep my/our entry in the book the same as last year ($72).Yes, please include my/our entry with the corrections listed below ($72).Yes, I/We wish to have a new entry in the book this year ($72). See my new entry below.

New/Corrected Yizkor Entry

Financials (2022-2023)

Financial Obligations:
Member accounts must be current, and all 2021-2022 financial obligations paid in full along with the first 2 months of 2022-2023 dues.

Payment plans may be confidentially arranged with Carly Litwok, Executive Director, who can be reached at carly@harshalom.org or 301-299-7087. For other billing questions, please email Jessica Railey, Accounting Liaison, who can be reached at jrailey@harshalom.org.

Reminder: Tickets will be processed once payment is received.

High Holy Day Packets will be available for pickup at Har Shalom on:
- Thursday, September 8th (9AM - 5PM)
- Friday, September 9 (9AM - 3PM)
- Sunday, September 11 (12PM - 1PM, during the Back-to-Shul BBQ)

Total: