Please fill out above with your first and last name and below list your name and the names of all family members who will be attending each service.

If you would like to attend with friends or extended family, please have them fill out a separate form.

Children age 24 and under are free.

Child Care is $18 per child per day / $36 max per family per day.

The last page of this form will ask for a donation amount based on a price per person per holiday. Please check which tier prices you are interested in: (All days of Rosh Hashanah are considered 1 holiday; Kol Nide & Yom Kippur are 1 holiday). The donation levels are:

• BASIC: $118 per person per holiday
• ELITE: $200 per person per holiday
• SUSTAINING: $300 per person per holiday

Please fill out the information below. If you are paying by credit card, submission will take you to Paypal where you will be able to fill out your credit card information. If you are paying by check you will receive an email with the filled out form that you can return with your check.

PLEASE NOTE:
Upon submission, you will be taken to PayPal's website, where you can enter your credit card information and complete your donation. Your donation is not complete until you enter your credit card information and process your payment.

If you are paying by check, please print the confirmation email that you will receive and mail it, along with your check made out to "Congregation Adath Israel", to the synagogue office at P.O. Box 623, Newtown, CT 06470.