Services at Shearith Israel - Form - Congregation Shearith Israel

We have transitioned to offering indoor and outdoor services depending on the day and circumstance. Given the fluid nature of the situation, it is important that you pay close attention to where specific services are being offered and understand that changes or cancellations may take place on short notice.

We continue to proceed in a cautious manner that is in compliance with State rules and the recommendations of our “COVID-19 Synagogue Re-entry Working Group” taking into account our own unique considerations (structural and cultural). Your safety, as well as the safety of our community and staff, is our primary concern. At this time, outdoor services take place on the Portico (which has been reinforced with increased security and ventilation) facing Central Park or on the roof at Manhattan Day School (at 310 West 75th Street), and indoor services take place in the Main Sanctuary (which has been reinforced with increased ventilation and air purification).

We recognize that while working diligently to provide a safe environment, we can only ensure a safer environment, not a 100% safe one. No congregant is required to attend. Any congregant who wishes to participate will a) be asked to self-identify as meeting the criteria, b) may be subject to screening upon arrival, c) acknowledges and accepts the risks of attending the minyan; and d) will be waiving any possible claim of any kind against the Synagogue or any of its agents.

Those who are in the at-risk categories as described by the CDC and DOH, especially, our older worshippers (above age 65), are asked to consult with their physician before completing this form or seeking to attend or attending. If you have been feeling unwell or have any symptoms associated with COVID-19, please do not attend.

NYC and the Metro area have seen a recent uptick in COVID-19 cases. Thus, we have updated this health screening form in anticipation of the upcoming services and kiddushim in the succah. In addition to the questions about having symptoms or being exposed to someone who has tested positive for COVID-19, please note the new questions regarding: living in, working in, traveling to, or spending significant amounts of time with anyone who is in the current hotspots within NY (click to see the areas in NY and NJ), as well as about having someone in your household under quarantine. We are appealing to you to NOT attend services or kiddush in the succah if you believe that you may be at increased risk of spreading COVID-19.

Our goal is to provide as safe an environment as possible for our community and trust that you will take all the necessary precautions for yourselves and our community. An absolute condition of attending our services/kiddushim in the succah, is for all participants to affirm that they are symptom-free and that they will abide by all the rules and regulations. By attending our services or participating in our activities, you and your family are affirming all the procedures, requirements, and undertakings included on our registration forms.

We have a limited number of spots available. Submitting this form does not guarantee you a place at any particular minyan. Your submission will be evaluated and you will be notified by email if you have been selected to attend. Only those who have been approved in advance will be permitted to attend. We reserve the right to ask anyone not to enter, or to leave the service, for any reason, including if we believe that there is a chance they are ill or that your presence may pose a risk to yourself or others. If after you are approved, you begin to feel unwell or are not able to attend, please let us know right away so we can invite someone else and ensure there is a minyan. We also ask that if you do attend CSI's service, in order to limit exposure and for the purpose of simplifying contact tracing, you avoid attending other synagogues' services.

Members of the same family are required to sign up individually. Please submit one form per person.

By completing this form, you agree to share your personal information and waive any claim or liability of any kind.

If you have any questions or need help completing the form, please contact info@shearithisrael.org.

Thank you for your cooperation.

* Are you a member of Congregation Shearith Israel?

Please Select OneYesNo

* Are you between the ages of 13 & 65?

Please Select OneYesNo

* I agree to wear a valveless mask and maintain social distancing at all times while at services anywhere Congregation Shearith Israel prays or gathers, or in the succah..

Please Select OneYesNo

* Are you saying Kaddish or observing a Nahala?

Please Select OneYesNo

* Have you knowingly been in close or proximate contact in the past 14 days with anyone who has tested positive for COVID-19 or who has or had symptoms of COVID-19?

Please Select OneYesNo

* Have you tested positive for COVID-19 in the past 14 days?

Please Select OneYesNo

* Have you experienced any symptoms of COVID-19 in the past 14 days? Specifically, fever of more than 100 degrees, cough, shortness of breath or difficulty breathing, chills or repeated shaking with chills, headache, sore throat, loss of taste or smell, diarrhea?

Please Select OneYesNoPlease expect to be screened when entering services.

* Within the past 14 days, have you been in an environment where you were at higher risk of exposure, for example, attended large gatherings (e.g., weddings, other lifecycle events, festivities, etc.), are an essential worker, traveled by subway, traveled by airline, or been in a state with a high incidence of COVID-19 (per the list of states issued by New York State)?

Please Select OneYesNohttps://coronavirus.health.ny.gov/covid-19-travel-advisory

* Please describe

* Within the past 14 days, have you lived in, worked in, traveled regularly through, or spent time with anyone who has been in one of the New York area's recent hotspots. If so, we ask you not to attend services or kiddush in the succah.

Please Select OneYesNoYou can see a listing of some recent hotspots in NY here, or NJ here.

* Has anyone in your household been under quarantine within the past 14 days? If so, we ask you not to attend services or kiddush in the succah.

Please Select OneYesNo

* Do you have any other reason to believe that you have been infected with COVID-19 within the last 14 days? * If so, we ask you not to attend services or kiddush in the succah.

Please Select OneYesNo

* I understand that limited spots are available. If approved, I commit to attending this service. If after signing up or being approved, I am no longer able to attend, I will notify Shearith Israel right away so that you can invite someone else and make sure there is a minyan.

Please Select OneYesNo

* If I/my child(ren) develop symptoms, test positive, or find out I/we have been exposed to someone with COVID-19, I will notify Congregation Shearith Israel as soon as possible and will not attend services at Congregation Shearith Israel.

Please Select OneYesNo

* I attest to all of the above and agree rigorously to follow social distancing and all other federal, state, and local advisories and all requirements of the Trustees of the Congregation Shearith Israel in the City of New York ("Congregation Shearith Israel") related to COVID-19. I acknowledge that being in the synagogue building, on its portico or other outdoor space, in or around the Shearith Israel Succah, or wherever else the Congregation prays or gathers (including Manhattan Day School) during the current pandemic (collectively "Synagogue Property") carries inherent risks, including infection from COVID-19, and I voluntarily assume any and all such risks. I waive, release, relinquish, and covenant never to assert against Congregation Shearith Israel or any of its trustees, employees, agents, volunteers, or other representatives (the "Released Parties") any claim relating to or arising out of COVID-19 or infection therefrom by reason of or in connection with my attendance at Synagogue Property, and I agree fully to indemnify and hold harmless Congregation Shearith Israel and the other Released Parties from any COVID-19-related monetary loss arising out of my attendance at any Synagogue Property. I am signing this document for myself and on behalf of my minor children..

Please Select OneYesNo

* First Name

* Last Name

* Email

* Cell Phone Number

* I would like to sign up for:

Please Select OneServices only

Services

I would like to attend services on:

Please Select OneWeekday(s) onlyShabbat/Yom Tob onlyBoth

* Which service(s) are you interested in attending? Please select all that apply.

Please send me the shared sign up sheet showing upcoming weekday services dates and times.If approved to attend services, you will receive a shared sign-up sheet in which you can place your name for whichever weekday services you wish to attend. You will also be able to see the location and time for each service, and if help is needed for a minyan or if we are oversubscribed.

* Which Shabbat/Yom Tob service(s) are you interested in attending? Please select all that apply.

Friday evening October 23 5:45 pm (Indoors - Main Sanctuary)Shabbat morning October 24 (Indoors & Outdoors)Shabbat afternoon, October 24 5:35 pm (Indoors- Main Sanctuary)

* If you would like to attend Shabbat/Yom Tob morning services, please indicate your preference below.

Please Select OneI would attend INDOORS onlyI would attend OUTDOORS onlyI would attend EITHER

Healthy children below Bar/Bat Mitzvah age are now permitted to be signed up to attend services in the Main Sanctuary or at MDS, provided that they are able to sit with a parent for the duration of the service and remain properly masked and socially distanced. No childcare will be provided and children will not be permitted to wander.

* Do you want to bring any children with you?

Please Select OneYesNo

* Please list their name(s) and age(s)