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I am a visitor requesting Shabbat Hospitality

I am a visitor requesting Shabbat Hospitality

Please complete the form below.

* Name:

* Which Shabbat would you like to be hosted?

* Which Shabbat meal(s) are you requesting?

Friday NightShabbat Lunch

Contact Number in the US:

* City/country where you reside

* Email

Number of people in your group, and approximate ages and genders:

* Do you know anyone who is or was a LSS member and if so please provide their contact information (email or telephone number)

* What is your past/current occupation?

Which countries have you lived in?

Would you be willing to share a fun fact about yourself :)?

Where you are staying and how far can you walk from there?

* I am a member and/or attend the following Synagogue:

Have you previously been a guest of LSS hospitality?

YesNo

Is there a special reason for your visit?

Do you need a low floor if there's no elevator access in the building?

YesNo

Do you require a baby seat/high chair?

No baby seats12

Do you need wheelchair access or have other physical restrictions?

Do you have any special dietary restrictions?

Is there anything else about you that would be helpful for your host to know?

Please provide one reference:

* Name:

* Email or Phone Number:

* Relationship:

* Are you fully vaccinated against COVID-19? (at least two weeks past the second dose)

YesNo

Thu, May 1 2025
3 Iyyar 5785

Thu, May 1 2025 3 Iyyar 5785

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