Temple Beth Sholom 2010
High Holy Days Return Form 5771

To charge your card on file, please fill out and submit form below.
Otherwise, print and mail this web page to the TBS Office (address below)
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DINNERS Qty Cost  
Selichot Dinner
Sept. 4, 6:00 p.m.
(Deadline

9/1)		 $ .00 Adults @ $12 ea.
$ .00 Children (12 & under) @ $8 ea
     
2nd Day Rosh Hashanah Luncheon
Sept. 10, 1:00 p.m.
(Deadline 9/7)
$ .00 Adults @ $10 ea.
$ .00 Children (12 & under) @ $7 ea.
     

Sukkot Eating Experience
Rabbi Chef, Ze'ev Harari
Adults Only
Sept. 22, 7:30 p.m.
(Deadline 9/16)

 $ .00 Adults @ $18 ea.
     

Simchat Torah/
Consecration Dinner:

Sept. 29, 5:30 p.m.
(Deadline 9/27)

$ .00 Adults @ $10 ea.
$ .00 Children (12 & under) @ $7 ea.
     
DONATIONS      
High Holy Day
Flower Fund 		$ .00
$25 Min. 		In honor of: (Rosh Hashanah mention - DEADLINE 9/2)

In memory of: (Yom Kippur mention - DEADLINE 9/7)
High Holy Day
Music Fund 		$ .00
$25 Min. 		In honor of: (Rosh Hashanah mention - DEADLINE 9/2)

In memory of: (Yom Kippur mention - DEADLINE 9/7)
MEMORIAL BOOK DONATION/LISTING

Yom Kippur Memorial Book Listing
(Deadline 9/7)

 $ .00
$25 Min.

 Same as last year
New Listing
Add Names:
Remove Names:

PRAYER BOOK CAMPAIGN
Donate towards the purchase of Gender Neutral Prayer Books for TBS
“Everyone on the Same Page” Are you up to the challenge? Our Goal is to acquire 50 Gender Neutral Prayer Books for Temple Beth Sholom. For a donation of $30, you will add to our limited number of available gender neutral prayer books and will be acknowledged with a bookplate in one of the new prayer books. Help us start the New Year on the same page!!
Gates of Repentence
(Gender Neutral)
$30/Copy


Qty.
 .00

  
CAMP SHANAH TOVAH *RESERVATIONS REQUIRED*, no fee
Grades 1-6
Camp Shanah Tovah
(Library) 		Check In Begins at 10:30 a.m.
Camp Shanah Tovah Program begins at 11:00 a.m.
BRING SACK LUNCH

Rosh Hashanah Student(s) & Grades (DEADLINE 9/3)
Name: Grade:
Name: Grade:
Name: Grade:
Name: Grade:

Yom Kippur Student(s) & Grades (DEADLINE 9/15)
Name: Grade:
Name: Grade:
Name: Grade:
Name: Grade:

   
CHILD CARE (Age 2 - Kindergarten) *RESERVATIONS REQUIRED*
 $10/Child per session
Child Care
Age 2 thru
Kindergarten
 Bring sack lunch, snack, plus necessary supplies including diapers & wipes.
Sign-in at School Rotunda Entrance. $10/Child per session
Name: Age:
Name: Age:
Name: Age:
  Qty Cost Service
Session 1 $ Erev Rosh Hashanah • Sept. 8, 6 - 8:45 p.m.
(DEADLINE 9/3)
Session 2 $ Rosh Hashanah • Sept. 9, 8:30 a.m. until conclusion of service (DEADLINE 9/3)
Session 3 $ Erev Yom Kippur • Sept. 17, 6 - 8:45 p.m.
(DEADLINE 9/14)
Session 4 $ Yom Kippur • Sept. 18, 8:30 a.m. until conclusion of morning service (DEADLINE 9/14)
Session 5 $ Yom Kippur • Sept. 18, 3:15 p.m. - 6:30 p.m.
(DEADLINE 9/14)
Childcare
Totals:		 $  
Total Charges: $    
Please charge my card on file for payment: (Check box)
Comments

Or print and fill out below
NOTE: If you do not receive confirmation of your submission within 2 business days please contact the TBS Office to verify it has been received 714-628-4600
For Printing
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Check Enclosed, Amount: $ .00
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ONLY : Account Number
  Expiration Date /

Please mail this form back to us at:
Temple Beth Sholom, 2625 N. Tustin Ave., Santa Ana, CA 92705

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