S'lichot 5782 Registration - Union County Va'ad
Thank you for registering to come to S'lichot! This will enable us to plan and to allow for any contact tracing, if necessary. The program and services will be held at Congregation Beth Israel, 1920 Cliffwood Street, Scotch Plains, NJ 07076. The service will also be livestreamed. To attend by livestream, just go to  https://www.cbinj.org/livestream. No registration is required. 

The evening's schedule is as follows:

Service times are as follows (unless otherwise specified):
  - 8:00 p.m. - Havdalah (Check-in will begin at 7:45 p.m.)
  - 8:15 p.m. - Program 
  - 10:00 p.m. - S'lichot Service 

Our current COVID protocols require that masks be worn at all times during services. Seating is set up socially-distanced, with every other row marked off and seating beginning three rows away from the Bima. Service leaders and speakers may sing without being masked if they have had a negative PCR test result within the prior 48 hours. Please note that the COVID protocols are subject to change depending on conditions at the time of the event.

If you are not vaccinated and have traveled outside of the state in the past 10 days or if you have come into contact with someone who has tested positive for COVID, please attend the service by Zoom.
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Do you have a synagogue affiliation? If so, which one?

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Please list the names of those attending with you
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For the next question, please use these definitions:
Boosted: You have received both doses of Pfizer/Moderna or one dose of J&J AND have received a booster shot
Fully Vaccinated: It is at least two weeks after your 2nd dose of Pfizer/Moderna or single dose of J&J
Partially Vaccinated: You have had only 1st dose of Pfizer/Moderna or are not more than two weeks past inoculation (four weeks for J&J)
Not Vaccinated: You have not received any vaccine

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Please list the vaccination status of each person attending.
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