Pre-registration is required. Full Name* First Name Last Name E-mail* Phone Number Area Code Phone Number Number of men attending:* Number of women attending:* Number of children attending:* Please select all High Holiday Services you plan to attend: Rosh Hashana - Monday, September 22, 2025 6:30 PM Evening Service Rosh Hashana Day 1 - Tuesday, September 23, 2025 9:00 AM - 12:00 PM Morning Service10:15 AM - 12:00 PM Children's Program4:00 PM Shofar/Tashlich at Riverside Park6:30 PM Evening Service Rosh Hashana Day 2 - Wednesday, September 24, 2025 9:00 AM - 12:00 PM Morning Service10:15 AM - 12:00 PM Children’s Program Yom Kippur - Wednesday, October 1, 2025 6:15 PM Kol Nidrei Services Yom Kippur - Thursday, October 2, 2025 9:00 AM - 1:00 PM Morning Service10:30 AM - 11:30 AM Power Hour (Only Includes Sermon & Yizkor)10:30 AM - 12:00 PM Children's Program3:45 PM - 4:45 PM Second Yizkor Service5:00 PM Mincha Afternoon Service6:00 PM Neilah Closing Service6:15 PM Children's Program7:15 PM Community Break-fast DonationsChabad offers High Holiday services without mandatory fees and participation is voluntary. Services do entail significant costs and we encourage and request your financial participation. Please consider a minimum suggested donation of $180 per adult and $75 per child or consider being a High Holiday superstar with a High Holiday sponsorship. I would like to make a donation of:* $180 - Suggested for Individual$360 - Suggested per Couple$540 - Suggested per Family$1,800 - Become a Chai Club Member Sponsorship Opportunities $1,000 - Sponsor a Rosh Hashana Kiddush (2 available)$1,800 - Sponsor Yom Kippur Break-fast$3,600 - Sponsor Security for the High Holidays$5,000 - Sponsor the Cantor$10,000 - High Holiday Superstar Total $0.00 Yes, I'd like to donate the cost of processing this transaction by adding 3% Payment Credit Card Paypal Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration YearPaypal has been selected. Payment will take place on the next page.Mail in Check To:Chabad of Fairfield452 Brookside Drive Fairfield, CT 06824Billing Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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