High Holiday Reservation Form

For places at services and communal meals  ___________________________________________________________________________________


Services which I/we will be attending (free of charge):         Adults  Children:                       

Please check one or more

     Rosh Hashana                                       Yom Kippur

Rosh Hashana Eve                    Yom Kippur Eve (Kol Nidrei)

Rosh Hashana 1st Day              Yom Kippur Day Yizkor

Rosh Hashana 2nd Night           Neila Closing Services

Rosh Hashana 2nd Day


Communal Meals which I/we will be attending:                      Adults:  Children: 

Please check one or more

      Rosh Hashana                                         Sukkot                                                                                Simchat Torah

First Night Communal Dinner                1st Eve Make your own Poke Bowl in the Sukkah        Night Celebration

Second Night Communal Dinner            2nd Eve    Steak and Scotch in the Sukkah                          Day Celebration

  Suggested Donation amounts

$180 Family                    Name:

$100 Couple                  Address:

$54 Single                     City: State: Zip:

$36 Student                  Home phone number:

$18 per Person             Office phone number:

for communal meals only       E-mail:

$ Gift             Please add me to the Chabad of Mt. Olympus mailing list

All contributions are tax-deductable.


Payment Method                                                                               

 Please charge my credit card

                           Card number:   Exp:     

                     Name on card:                   


 I'm sending a check a check for the amount of: $

                      Please make checks payable to: Chabad of Mt. Olympus/Laurel Canyon

                                                                          8124 Laurelmont Dr. L.A., CA 90046