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Member & Guest Registration Form High Holy Days | 5786/2025

We’re delighted you’re planning to join in community with us to welcome the new year! A few helpful notes as you complete this form:

A member includes anyone in your household, including your children age 26 and under.
A guest is anyone who doesn’t fit the above definition. Guests are welcome to attend all services and programs for a donation of $118 per guest 27 and older; no donation is required for guests 26 and under. Guests must attend with the member who registered them. If cost is a barrier, please don’t hesitate to reach out to us at support@tbewellesley.org—we’re here to help.
If your guests are members of another Reform temple, they can apply for reciprocity in lieu of making the donation. Below, you'll be able to indicate which of your guests will be requesting reciprocity. The completed reciprocity form should be submitted to support@tbewellesley.org after finishing your registration.
There’s no need to register for online services; TBE members will receive links to all virtual services and programs approximately one week prior to the High Holy Days.

To explore all of our High Holy Days services and programming, click here.

If you have any questions, please contact us at support@tbewellesley.org.

For the smoothest experience, we recommend filling out this form on a laptop or desktop computer.

Non-Member Registration Form High Holy Days | 5786/2025

We’re delighted you’re planning to join the TBE community to welcome the new year! A few helpful notes as you complete this form:

A adult is anyone 27 and older. We ask for a donation of $118 per adult. If cost is a barrier, please don’t hesitate to reach out to us at support@tbewellesley.org. Additionally, we will waive the donation for those with reciprocity with another Reform temple.
A youth is anyone 26 and under. No donation is required for guests 26 and under.
Please note that our main sanctuary services for Rosh Hashanah, Kol Nidre, and Yom Kippur are reserved for our members and their guests, or those requesting reciprocity from another Reform temple.

If you would like to register for online services only, there is no need to fill out this form; you can register for each online event, including the main sanctuary services, directly on our website. You can view a list our High Holy Days programs by clicking here.

If you have any questions, please contact us at support@tbewellesley.org.

If you have reciprocity with another Reform temple, please do not use this form to register. Reach out to support@tbewellesley.org and we will help you.

For the smoothest experience, we recommend filling out this form on a computer.

MEMBER & GUEST REGISTRATION

Filling out this section will register you for many of our High Holy Day services and programs, including Erev Rosh Hashanah, Rosh Hashanah Day 2, Yom Kippur Meditation, Hour of Learning, Hour of Response, and Mincha, Yizkor, N’ilah, & Havdalah.

You’ll register for main sanctuary services (Rosh Hashanah, Kol Nidre, and Yom Kippur)—as well as youth & family programming—in the next sections.

________________________________________________________________________

Members (anyone in your household, including children 26 & younger):
Please indicate the number of members of your household, including yourself, who are planning to attend services.

If a member of your household does not appear in the dropdown list, please email support@tbewellesley.org.

Select a member:

Preferred name (nickname)

Last name

Pronouns

Select a member:

Preferred name (nickname)

Last name

Pronouns

Select a member:

Preferred name (nickname)

Last name

Pronouns

Select a member:

Preferred name (nickname)

Last name

Pronouns

Select a member:

Preferred name (nickname)

Last name

Pronouns

Select a member:

Preferred name (nickname)

Last name

Pronouns

Select a member:

Preferred name (nickname)

Last name

Pronouns

Select a member:

Preferred name (nickname)

Last name

Pronouns

Select a member:

Preferred name (nickname)

Last name

Pronouns

Select a member:

Preferred name (nickname)

Last name

Pronouns

Select a member:

Preferred name (nickname)

Last name

Pronouns

Select a member:

Preferred name (nickname)

Last name

Pronouns

_______________________________________________________________________

Guest Adults (27 & older):
Please indicate the number of adult guests attending services with you, including extended family members who plan to submit a reciprocity form.

If your guest does not appear in the dropdown list when searching, please complete all required fields.

Guest adult full name

Preferred name (nickname)

Last name

Pronouns

Guest adult full name

Preferred name (nickname)

Last name

Pronouns

Guest adult full name

Preferred name (nickname)

Last name

Pronouns

Guest adult full name

Preferred name (nickname)

Last name

Pronouns

Guest adult full name

Preferred name (nickname)

Last name

Pronouns

Guest adult full name

Preferred name (nickname)

Last name

Pronouns

Guest adult full name

Preferred name (nickname)

Last name

Pronouns

Guest adult full name

Preferred name (nickname)

Last name

Pronouns

________________________________________________________________________

Guest Youth (26 & younger):
Please indicate the number of youth guests attending services with you, including extended family members who plan to submit a reciprocity form.

If your guest does not appear in the dropdown list when searching, please complete all required fields.

Guest youth full name

Preferred name

Last name

DOB

Pronouns

Guest youth full name

Preferred name

Last name

DOB

Pronouns

Guest youth full name

Preferred name

Last name

DOB

Pronouns

Guest youth full name

Preferred name

Last name

DOB

Pronouns

Guest youth full name

Preferred name

Last name

DOB

Pronouns

Guest youth full name

Preferred name

Last name

DOB

Pronouns

Guest youth full name

Preferred name

Last name

DOB

Pronouns

Guest youth full name

Preferred name

Last name

DOB

Pronouns

GENERAL REGISTRATION

You’ll register for youth & family programming in the next sections.

Please note that our main sanctuary services for Rosh Hashanah, Kol Nidre, and Yom Kippur are reserved for our members and their guests.

________________________________________________________________________

Adults (27 & older):
Please indicate the number of adult members of your household who are planning to attend services, including yourself.

If the person you're registering doesn't appear in the dropdown list when searching, please complete all required fields.

Adult full name

Preferred name (nickname)

Last name

Pronouns

Primary email

Mobile phone

Adult full name

Preferred name (nickname)

Last name

Pronouns

Primary email

Mobile phone

Adult full name

Preferred name (nickname)

Last name

Pronouns

Primary email

Mobile phone

Adult full name

Preferred name (nickname)

Last name

Pronouns

Primary email

Mobile phone

Adult full name

Preferred name (nickname)

Last name

Pronouns

Primary email

Mobile phone

Adult full name

Preferred name (nickname)

Last name

Pronouns

Primary email

Mobile phone

Adult full name

Preferred name (nickname)

Last name

Pronouns

Primary email

Mobile phone

Adult full name

Preferred name (nickname)

Last name

Pronouns

Primary email

Mobile phone

________________________________________________________________________

Youth (26 & younger):
Please register all youths attending services with you.

If the person you're registering doesn't appear in the dropdown list when searching, please complete all required fields.

Youth full name

Preferred name

Last name

DOB

Pronouns

Youth full name

Preferred name

Last name

DOB

Pronouns

Youth full name

Preferred name

Last name

DOB

Pronouns

Youth full name

Preferred name

Last name

DOB

Pronouns

Youth full name

Preferred name

Last name

DOB

Pronouns

Youth full name

Preferred name

Last name

DOB

Pronouns

Youth full name

Preferred name

Last name

DOB

Pronouns

Youth full name

Preferred name

Last name

DOB

Pronouns

________________________________________________________________________

What brings you to TBE for High Holy Days?

RECIPROCITY

Number of Adult Guests with Reciprocity:
How many of the guests above plan to submit a reciprocity form?

Their Home Temple: Temple Name, City, State
(feel free to list more than one temple if needed).

What brings you to TBE for High Holy Days?

Reciprocity Agreement: All guests with reciprocity must submit their form to support@tbewellesely.org. If the form is not received by October 15, the member will be invoiced for their guests' fees. Due the the high volume of attendees at services, we will not be accepting reciprocity forms at registration.

Yes, I understand and agree to be invoiced.

MAIN SANCTUARY SERVICES

To help us ensure a safe, welcoming, and smooth experience for all, please let us know which of the following services you plan to attend. Your family may all attend either the early service or the late service, but not both.

Guests must attend with the member who registered them.

For Rosh Hashanah and Yom Kippur, babysitting is available for both services.

An engagement program for 6th & 7th graders is available during the early and late services on Rosh Hashanah

Rosh Hashanah Day 1 | Tuesday, September 23

Early Morning (8:30–10:45 am)

Late Morning (12:45–3:00 pm)Not attending a Rosh Hashanah Day 1 service

Rosh Hashanah Late Morning (12:45–3:00 pm) FULL
This service is full. You are welcome to register for the early service and click below to add your family to the waitlist. If space becomes available, we will do our best to accommodate your request.

Yes, please add my family to the waitlist for the Rosh Hashanah Late Morning Service

Total number of attendees for Rosh Hashanah Early Morning Service (please include any 6th or 7th graders attending the engagement program):

Total number of attendees for Rosh Hashanah Late Morning Service (please include any 6th or 7th graders attending the engagement program):

Select a registrant

________________________________________________________________________

Kol Nidre | Wednesday, October 1

Early Service (6:00–7:45 pm)

Late Service (8:30–10:15 pm) Not attending a Kol Nidre service

Kol Nidre Late Service (8:30–10:15 pm) | FULL This service is full. You are welcome to register for the early service and click below to add your family to the waitlist. If space becomes available, we will do our best to accommodate your request.

Yes, please add my family to the waitlist for the Kol Nidre Late Service

Total number of attendees for Kol Nidre- Early Service:

Total number of attendees for Kol Nidre - Late Service:

Select a registrant:

________________________________________________________________________

Yom Kippur | Thursday, October 2

Early Morning (8:30–10:30 am)

Late Morning (11:15 am–1:15 pm) Not attending a Yom Kippur service

Yom Kippur Late Morning (11:15 am–1:15 pm) | FULL This service is full. You are welcome to register for the early service and click below to add your family to the waitlist. If space becomes available, we will do our best to accommodate your request.

Yes, please add my family to the waitlist for the Yom Kippur Late Morning Service

Total number of attendees for Yom Kippur - Early Morning Service:

Total number of attendees for Yom Kippur - Late Morning Service:

Select a registrant:

FAMILY & YOUTH SERVICES

Please let us know how many people, including adults and children, are coming to each service or program below.

Rosh Hashanah Day 1 | Tuesday, September 23

Families with Young Children Service in the TBE Sanctuary (11:30–12:00 pm)

TGIHH (Thank God It's the High Holy Days) K-5 Family Service in the TBE Sanctuary (3:45–4:45 pm)

Rosh Hashanah Day 2 | Wednesday, September 24

Rosh Hashanah Family Service at Belkin Lookout Farm (4:30 pm)

Yom Kippur | Thursday, October 2

Families with Young Children Service at Wellesley High School (9:00–9:30 am)

TGIHH (Thank God It's the High Holy Days) K-5 Family Service at Wellesley High School (10:00–11:00 am)

Teen Talks: A Havayah High Holy Days Experience at TBE (11:15–12:00 pm)

BABYSITTING

For our Rosh Hashanah and Yom Kippur early and late services this year, we are offering babysitting for ages 15 months to 5 years. Would you like to sign any children up for babysitting?

YesNo

ROSH HASHANAH EARLY SERVICE BABYSITTING

Number of children:

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

ROSH HASHANAH LATE SERVICE BABYSITTING

Number of children:

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

If you selected "yes" to medical concerns or dietary restrictions, you can give us the details in the next step.

YOM KIPPUR EARLY SERVICE BABYSITTING

Number of children:

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

YOM KIPPUR LATE SERVICE BABYSITTING

Number of children:

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

Youth full name

DOB

Medical concern?

YesNo

Dietary restriction?

YesNo

Potty trained?

YesNo

If you selected "yes" to medical concerns or dietary restrictions, you can give us the details in the next step.

ROSH HASHANAH 6th & 7th GRADE ENGAGEMENT PROGRAM

During our Early and Late Rosh Hashanah services on Tuesday, September 23, we are offering an engagement program for 6th & 7th graders. Would you like to register any children for this program?

YesNo

EARLY SERVICE ENGAGEMENT PROGRAM

Rosh Hashanah Early Service Engagement Program

Youth full name

What grade is your child in?

Pronouns

Medical concern?

YesNo

Dietary restriction?

YesNo

Youth full name

What grade is your child in?

Pronouns

Medical concern?

YesNo

Dietary restriction?

YesNo

Youth full name

What grade is your child in?

Pronouns

Medical concern?

YesNo

Dietary restriction?

YesNo

Youth full name

What grade is your child in?

Pronouns

Medical concern?

YesNo

Dietary restriction?

YesNo

LATE SERVICE ENGAGEMENT PROGRAM

Rosh Hashanah Late Service Engagement Program

Youth full name

What grade is your child in?

Pronouns

Medical concern?

YesNo

Dietary restriction?

YesNo

Youth full name

What grade is your child in?

Pronouns

Medical concern?

YesNo

Dietary restriction?

YesNo

Youth full name

What grade is your child in?

Pronouns

Medical concern?

YesNo

Dietary restriction?

YesNo

Youth full name

What grade is your child in?

Pronouns

Medical concern?

YesNo

Dietary restriction?

YesNo

If you selected "yes" to medical concerns or dietary restrictions, you can give us the details in the next step.

YOM KIPPUR - EARLY SERVICE (CURRENTLY NOT HAPPENING BUT LEAVING SINCE DECISIONS CONSTANTLY CHANGING. WHOLE SECTION IS HIDDEN)

10/2/25: Yom Kippur - Pull-0ut program

Youth full name

What grade is your child in?

Pronouns

Medical concern?

YesNo

Dietary restriction?

YesNo

Youth full name

What grade is your child in?

Pronouns

Medical concern?

YesNo

Dietary restriction?

YesNo

Youth full name

What grade is your child in?

Pronouns

Medical concern?

YesNo

Dietary restriction?

YesNo

Youth full name

What grade is your child in?

Pronouns

Medical concern?

YesNo

Dietary restriction?

YesNo

EMERGENCY CONTACT

Please be aware that in the event of an emergency involving your child(ren), we may need to call this number during services.

Full Name

Mobile Phone

MEDICAL & MEDICATION ALLERGIES

Please list any general and/or medication allergies:
(Provide full name of child(ren) if more than one is attending babysitting)

DIETARY RESTRICTIONS & FOOD ALLERGIES

Please list any dietary restrictions and/or food allergies:
(Provide full name of child(ren) if more than one is attending babysittying)

VOLUNTEER OPPORTUNITIES

Would anyone in your group like to be a greeter?

Yes

Would you like to bring a kugel on Yom Kipppur?

Yes

If you check yes to either of these questions, Susan Karon will reach out to you.

DONATIONS

TBE FUND

Our programs and events are made possible through the generosity of our members. Thank you for supporting Jewish life by being a part of our community!

If you would like to contribute to the TBE Fund, please enter the amount below:
No $ sign please

THE HUNGER DRIVE

Through our annual Hunger Drive, TBE members have the opportunity to alleviate the suffering of those who are hungry. Below, you can choose to support the work of our own TBE Table and our partner organizations, all of which provide food to the people who need it most.

Your donation will be distributed evenly among the organizations you select:

TBE Table cooks healthy meals in the TBE kitchen for those in need.

Family Table is the largest kosher food pantry in New England. Yad Chessed gives emergency financial aid to local Jews in need.Community Servings delivers medically tailored meals to chronically ill Massachusetts residents. Family Promise Metrowest shelters and supports local homeless families with children.MAZON is a Jewish nonprofit combating hunger in the U.S. and Israel through advocacy.Leket Israel distributes food to Jewish, Arab, and other vulnerable communities in Israel.IsraAID is an Israeli non-governmental organization supporting people affected by humanitarian crises.

Enter the amount you'd like to contribute to the Hunger Drive below:
No $ sign please

ROSH HASHANAH BELKIN FARM EXPERIENCE

If you would like to help offset the cost of this incredible annual event for our community, the suggested donation is $36.

Enter the amount you'd like to donate below:
No $ sign please

TICKET MAILING ADDRESS

If you complete this form on or before Monday, September 8, your tickets will be mailed to you and should arrive during the week of September 14. Please enter the address where you would like your tickets mailed.

If you are completing this form after Monday, September 8, you will need to pick up your tickets at the temple prior to Erev Rosh Hashanah (Monday, September 22).

Full name

First name*

Last name*

Primary email*

Mobile phone*

Mailing street

Mailing unit/apt.

Mailing city

Mailing state

Mailing ZIP Code

BILLING INFORMATION

Full name

First name

Last name

Primary email

Credit Card Number

Exp. Month

Exp. Year

Verification Code

Total

Submission may take a few moments after pressing the submit button. Please do not refresh, leave the page, or click submit more than once.

If you are still having issues, please return to the top of the page, click “save my progress and resume later,” and the reach out to support@tbewellesley.org. We will be able to assist you soon.

HIDDEN - TEST CALCULATIONS

Subtotal

Promo Code Adult Price

Member Guest Price

Non-Member Price

FREEBIE

Account Promo Code (PF)

Account Promo Code (DP2)

Account Promo Code (DP1)

Babysitting Price

TBE Fund Price

Hunger Drive Price

Farm Price

# of total registrants

# of nametags

# of adult guests

# of reciprocity

# of complimentary

Kol Nidre Waitlist

On Off

YK Waitlist

On Off

RH Waitlist

On Off

Member Form

On Off

RH Babysitting

On Off

YK Babysitting

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RH Youth Program

On Off

Reciprocity Form

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YK Youth Program

On Off

RH Services

On Off

KN Services

On Off

Event Name Tag - Guest (DP)

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AccountID

AccountID-NM

ReRegistration ID

ReRegistration PF - Name

Outreach Campaign - HHD - Members

Designation - HHD

Outreach Campaign - HHD - Reciprocity

Outreach Campaign - HHD - Non-Members

Outreach Campaign - Hunger Drive

Designation - Hunger Drive

Outreach Campaign - TBE Fund

Designation - TBE Fund

HIDDEN - Members - Contact IDs

ContactID-AM#1

ContactID-AM#2

ContactID-AM#3

ContactID-AM#4

ContactID-AM#5

ContactID-AM#6

ContactID-AM#7

ContactID-AM#8

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ContactID-AM#10

ContactID-AM#11

ContactID-AM#12

HIDDEN - Authorize.Net

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AUTHORIZE_DOT_NET_SUBSCRIPTION_ID

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