Please fill out the form below in its entirety. In return, you will receive a Paypal invoice. If you prefer to pay by check, scroll to the bottom of this screen and press “Show a print version.” Print the form, fill it out, and send it and a check to 354 Kenrick St. Newton, MA 02458. Please recommend our service to your friends. 

If you have any other questions, please call or email. Find contact information under “Contact Us” on the menu on the left.

First and last name of each attendee:

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Best email address to reach you:
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Phone number:

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Mailing Address:

Check the services you will attend and indicate how many people will be at each service so we can have the right number of books and handouts available:
Erev (Evening) Rosh HaShanah
Rosh HaShanah Day
Kol Nidre (Evening of Yom Kippur)
Yom Kippur Day and Yizkor (Afternoon Memorial Service)
Neila and Break fast at the end of Yom Kippur
We will not be offering a lunch option this year but there will be a kiddush after services to which all are invited. We hope you will stay and join us for Tashlich at Chandler Pond immediately following services.

We ask that everyone that attends make a donation to the Chapel Service. Your donations help pay expenses for the service. The cost is $85 per person for Rosh HaShanah and $85 per person for Yom Kippur for the first two adults attending. Additional members of an immediate family group are $30 per person per holiday. If you are unable to contribute the full amount, please indicate the amount that seems appropriate to you given your circumstances. We welcome everyone who wishes to attend a service or services during the holidays.

Please indicate the amount of your donation here:

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Would you like to donate money toward flowers for the bimah?

Please indicate the amount of your donation here:

Please list the names of those you are honoring with this donation. We will acknowledge them during the service. Please indicate whether this is a memorial contribution.

It is our tradition to give Tzedakah (in this case, monetary gifts) at this time of year.
This year we are collecting money for:
  • Yad Chessed that provides Holiday meals for needy Boston Jewish families
  • Jewish Family and Children's Services of Houston. This money will go to buying gift cards to grocery stores and Home Improvement stores in the Houston area. The recepients are both Jews and non-Jews affected by the recent flood.


 Please indicate the amount of money you wish to contribute and to which organization (for instance, $25 to Yad Chessed):

If you wish to honor or memorialize someone with this donation, please list their names here:

 Please list the names of your loved ones that have passed away and their relationship to you (grandfather, coworker, aunt, etc.).These names will be read at Yizkor services on Yom Kippur.

Please list your loved ones who have died since last Yom Kippur here:

Please list all other loved ones who you would like mentioned here:

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