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Vaccination Card Request

To ensure the health of everyone attending services, we are requiring those in attendance to provide us with proof of vaccination.  Please submit a photo (jpg or png) or pdf of your vaccination card and all that will be attending with you.  


Please list the names of all of the people attending services with you.
We need a copy or picture of the vaccination card for yourself and each person listed above.

If you cannot see the form, you need to sign into your B'nai Tikvah account.  If you haven't signed into your account before, you will need to set your password. At the top right, put in your email address, and then click "Forgot Password" and follow the instructions.  You will then be able to sign into your account.

Sat, December 4 2021 30 Kislev 5782