Temple Solel High Holy Days Service In-Person COVID Questionnaire

Please complete the form below.

Since your in-person attendance for Temple Solel High Holy Days Service request has been approved, please complete this COVID-19 questionnaire 3 days prior to each holiday to ensure the safety of all our in-person participants.

Please note that each participant, that was approved for your reservation, must complete this questionnaire.
Name(Required)
Question 1(Required)
Do you or anyone in your household have any symptoms of COVID-19 such as fever, cough, sore throat, congestion, loss of taste or smell, vomiting or diarrhea? *
Question 2(Required)
Have you or someone in your household tested positive for COVID-19 in the past 14 days?*
Question 3(Required)
Do you have a pending COVID-19 test?*
Question 4(Required)
Have you cared for or been in close contact with someone with COVID-19 symptoms or that tested positive for COVID-19 in the past 14 days?*
Question 5(Required)
Have you traveled internationally or been to a large group gathering in the past 14 days? Have you been in contact with someone that has traveled internationally in the past 14 days?*

CONSENT (Required)

Please note that it is required for you to be FULLY VACCINATED for COVID-19, at least 2 weeks prior to entering Temple Solel. FACE COVERINGS are REQUIRED at all times. Hands must be SANITIZED at entry into the Temple. We ask that you SOCIALLY DISTANCE whenever possible and that all attendees occupy only their assigned seats. This COVID questionnaire MUST be completed by each person prior to visiting Temple Solel. Thank you for your cooperation.