In-Person Service Request

Please complete the form below to pre-register for attendance at the Friday, May 21st, 7:30 p.m. service.

Social distancing will be observed and masks must be worn.  All attendees (maximum of 30) must be fully vaccinated.

This form should be completed by 10:00 a.m. on Wednesday, May 19th.  You will be notified on Thursday, by email and phone, if your name has been chosen.


  • Leave blank if this request is only for one person
  • Leave blank if this request is only for two people
  • Leave blank if only this request is only for three people
  • In the interest of complete transparency, Temple Rodeph Torah wishes to reinforce to attendees that visiting our building carries an inherent risk of being exposed to or contracting the coronavirus or COVID-19. By coming, you indicate your acknowledgment, acceptance, and assumption of these risks.