Last Name* First Name of Teen* Phone Number* Area Code Phone Number E-mail* Name of Teen* Birth Date of Teen* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Gender* MaleFemale I will attend: High Holiday prep and pizza meeting September 26 (1.5 hours of volunteering)Rosh Hashanah Day 1 October 3rd 10:00 am- 12:30 pm (2.5 hours of volunteering)Rosh Hashanah Day 2 October 4 10:00 am- 12:30 pm (2.5 hours of volunteering)Yom Kippur October 12th 10:00 am - 12:30 pm (2.5 hours of volunteering)Simchat Torah October 24th 4:30 pm- 6:30 PM (2 hours of volunteering)Simchat Torah October 24th 6:30 pm- 9:30 pm (3 hours of volunteering) Submit * No synagogue membership or seat fees are necessary as a prerequisite to participating in High Holidays with Rabbi Shtick. This program is included for those who do purchase membership or seats. Should be Empty: This page uses TLS encryption to keep your data secure.