Full Name* First Name Last Name E-mail* Additional Attendees Additional Attendees First Name Additional Attendees Last Name Additional Attendees Additional Attendees First Name Additional Attendees Last Name Phone Number* Address Street Address Street Address Line 2 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 1. Rosh Hashanah Reservations: Number of Adults Number of Children I/We will be attending: (check all that apply) Rosh Hashanah Evening Services – Sep. 11 – 6:45 PMDay 1 "Short & Sweet" Rosh Hashana Experience No Shofar Blowing – Sep. 12 – 9:00 AMDay 1 - Rosh Hashanah Morning Services – Sep. 12 – 10:00 AM"New Beginnings" with Rebbetzin Chana Rachel Schusterman, for women only - Sep. 12 - 11:00 AM - 12:00 PMDay 1 - Children's Program – Sep. 12 – 12:00–1:00 PMDay 1 - Rosh Hashanah Sermon - No Shofar Blowing – Sep. 12 – 12:00 PM"Living with Purpose in an Uncertain World" by Rabbi Gershon Schusterman - September 12 - 7:00 PMDay 2 "Short & Sweet" Rosh Hashana Experience Shofar Blowing – Sep. 13 – 9:00 AMDay 2 Rosh Hashanah Morning Service – Sep. 13 – 10:00 AMDay 2 "The Voice That Awakens the Soul" with Rebbetzin Chana Rachel Schusterman, for women only - Sep 13 - 11:00am-12:00pmDay 2 Children's Program – Sep. 13 – 12:00–1:00 PMDay 2 Rosh Hashanah Sermon & Shofar Blowing – Sep. 13 – 12:00 PMShofar in the Park & “Tashlich” at Oso Creek – Sep. 13 – 5:30 PM 2. Yom Kippur Reservations: Number of Adults Number of Children I/We will be attending: (check all that apply) Kol Nidrei Service – Sep. 20 – 6:45–7:45 PMYom Kippur Evening Service – Sep. 20 – 7:45–9:00 PM"Short & Sweet" Yom Kippur Experience – Sep. 21 – 9:00 AMYom Kippur Morning/Shacharit Service – Sep. 21 – 10:00 AMRabbi's Sermon, Yizkor Memorial Service & Children's Program – Sep. 21 – 12:45 PMMusaf/Holiday Service – Sep. 21 – 1:45 PMMeditation with Dr. Michael Grossman – Sep. 21 – 3:45 PMMincha/Afternoon Service – Sep. 21 – 4:45 PMNeilah/Closing Service (Ark remains open entire service) – Sep. 21 – 5:45 PMBreak the Fast – Sep. 21 – 7:45 PM 3. High Holiday Donation Opportunities No charge to attend; donations appreciated. Suggested Donation: $180 per adult, $125 per senior and $100 per child or student $125$180.00$250$360$540$720$900$1800 4. Partnership Opportunity At Chabad Jewish Center of Mission Viejo, there are no membership dues. Our doors are open to every Jew, regardless of affiliation or financial ability. Everything we do is made possible entirely through the generosity of donors like you. One hundred percent of every contribution is invested directly into strengthening Jewish life right here in our local community. We invite you to partner with Chabad Jewish Center of Mission Viejo in ensuring that the flame of Judaism continues to burn brightly, inspiring this generation and the next. yes! 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Payment will take place on the next page.Billing 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.