Return to Temple Begins July 1!

Join Us at Temple Beginning July 1st - We've Missed you!

It's been a long time coming and we're getting ready to resume in-person Temple activities.

We want to make sure that everyone stays safe and healthy, so please complete the form below, verifying that you are FULLY vaccinated. (By FULLY vaccinated we mean two weeks from your second dose of the Pfizer or Moderna vaccines and two weeks from your single dose of the Johnson & Johnson vaccine.)

This vaccine affirmation will be kept on file, so you will only have to complete it one time for all services, classes and other activities and events.

If you have any questions at all you can contact the Temple business office or Lisa Slaton at admin@templeisraeltlh.org .

* First Name

* Last Name

* Phone Number

* Email

* Number of people in your group

* Names of other people in your group

Please separate names with a ,

* Please check this box if you have been fully vaccinated.

Please check this box if you have been fully vaccinated.I hereby affirm that I/we have been fully vaccinated - at least two weeks past second dose of Moderna or Pfizer vaccines, or two weeks past single dose of Johnson & Johnson vaccine At this time, vaccines are required for attendance at in-person services.

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