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	High Holidays Reservation Form - Chabad of Fremont Jewish Center
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September 11 - 21, 2026</div></div>
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			<h1 class="article-header__title js-article-title js-page-title">High Holidays Reservation Form</h1>
		
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Oct. 1st" /><label id="label_input_87_1" for="input_87_1"><span>7:45 PM Arvit/Evening Service - Oct. 1st</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_87_2" name="q87_input87[]" value="6:20 PM Doors Open &amp; Hydration Bar - Oct. 1st" /><label id="label_input_87_2" for="input_87_2"><span>6:20 PM Doors Open &amp; Hydration Bar - Oct. 1st</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_87_3" name="q87_input87[]" value="6:37 PM Candle Lighting &amp; Kol Nidrei - Oct 1st" /><label id="label_input_87_3" for="input_87_3"><span>6:37 PM Candle Lighting &amp; Kol Nidrei - Oct 1st</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_87_4" name="q87_input87[]" value="10:00 AM Morning Service - Oct. 2nd." /><label id="label_input_87_4" for="input_87_4"><span>10:00 AM Morning Service - Oct. 2nd.</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_87_5" name="q87_input87[]" value="11:00 AM Children’s Program - Oct. 2nd." /><label id="label_input_87_5" for="input_87_5"><span>11:00 AM Children’s Program - Oct. 2nd.</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_87_6" name="q87_input87[]" value="1:00 PM Yizkor Memorial Services - Oct. 2nd." /><label id="label_input_87_6" for="input_87_6"><span>1:00 PM Yizkor Memorial Services - Oct. 2nd.</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_87_7" name="q87_input87[]" value="5:15 PM Learning Experience - Oct. 2nd." /><label id="label_input_87_7" for="input_87_7"><span>5:15 PM Learning Experience - Oct. 2nd.</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_87_8" name="q87_input87[]" value="6:00 PM Children's show - Oct. 2nd" /><label id="label_input_87_8" for="input_87_8"><span>6:00 PM Children's show - Oct. 2nd</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_87_9" name="q87_input87[]" value="6:00 PM Neilah Closing Service - Oct. 2nd." /><label id="label_input_87_9" for="input_87_9"><span>6:00 PM Neilah Closing Service - Oct. 2nd.</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_87_10" name="q87_input87[]" value="7:32 PM Break-fast Buffet - Oct. 2nd" /><label id="label_input_87_10" for="input_87_10"><span>7:32 PM Break-fast Buffet - Oct. 2nd</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_77"><div class="form-label-left" id="label_77"><label for="input_77"> Sukkot Events </label><label class="label-message" for="input_77"> Attend All Events or Choose Your Preferences!</label></div><div id="cid_77" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_77_0" name="q77_input77[]" value="I Will Be Attending All Of The Below Sukkot Events!" /><label id="label_input_77_0" for="input_77_0"><span>I Will Be Attending All Of The Below Sukkot Events!</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_77_1" name="q77_input77[]" value="Soups &amp; Salads in the Sukkah - In honor of the birth of Baby Rochel Fuss - October 6 @ 6:45 PM" /><label id="label_input_77_1" for="input_77_1"><span>Soups &amp; Salads in the Sukkah - In honor of the birth of Baby Rochel Fuss - October 6 @ 6:45 PM</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_77_2" name="q77_input77[]" value="Morning Service - October 7 @ 10:30 am" /><label id="label_input_77_2" for="input_77_2"><span>Morning Service - October 7 @ 10:30 am</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_77_3" name="q77_input77[]" value="Morning Service - October 8 @ 10:30 am" /><label id="label_input_77_3" for="input_77_3"><span>Morning Service - October 8 @ 10:30 am</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_77_4" name="q77_input77[]" value="Morning Service - October 14 @ 10:30 am" /><label id="label_input_77_4" for="input_77_4"><span>Morning Service - October 14 @ 10:30 am</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_77_5" name="q77_input77[]" value="Community Simchat Torah Celebration @ 6:30 pm" /><label id="label_input_77_5" for="input_77_5"><span>Community Simchat Torah Celebration @ 6:30 pm</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_77_6" name="q77_input77[]" value="Simchat Torah Morning Service -  October 15 @ 10:30 am" /><label id="label_input_77_6" for="input_77_6"><span>Simchat Torah Morning Service -  October 15 @ 10:30 am</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_85"><div class="form-label-left" id="label_85"><label for="input_85"> Volunteer </label><label class="label-message" for="input_85"> </label></div><div id="cid_85" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_85_0" name="q85_input85" value="Please contact me about volunteer opportunities" /><label id="label_input_85_0" for="input_85_0"><span>Please contact me about volunteer opportunities</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line always-hidden" id="id_106"><div class="form-label-left" id="label_106"><label for="input_106"> Sukkah Bulding Sept 14. at 4:00 PM </label><label class="label-message" for="input_106"> Shift 2</label></div><div id="cid_106" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_106_0" name="q106_input106[]" value="I am able to assist in assembling the community Sukkah" /><label id="label_input_106_0" for="input_106_0"><span>I am able to assist in assembling the community Sukkah</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line always-hidden" id="id_105"><div class="form-label-left" id="label_105"><label for="input_105"> Sukkah Bulding Sept 28. at 5:00 PM </label><label class="label-message" for="input_105"> Shift 1</label></div><div id="cid_105" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_105_0" name="q105_input105[]" value="I am able to assist in assembling the community Sukkah" /><label id="label_input_105_0" for="input_105_0"><span>I am able to assist in assembling the community Sukkah</span></label></span><span class="clearfix"></span></div> </div></li><li id="cid_90" class="form-input-wide"> <div class="form-header-group"><h2 id="header_90" class="form-header">Lulav &amp; Esrog Set SOLD OUT</h2></div> </li><li class="form-line always-hidden" id="id_49"><div class="form-label-left" id="label_49"><label for="input_49"> Lulav &amp; Esrog set </label><label class="label-message" for="input_49"> Set includes all 4 species</label></div><div id="cid_49" class="form-input"> <span class="form-sub-label-container"><input type="number" class="form-number-input  form-textbox" id="input_49" name="q49_number" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" />  <label class="form-sub-label" for="input_49">$50/set. Available for pickup at the Yom Kippur Break-Fast 9/2 or after</label></span> </div></li><li id="cid_48" class="form-input-wide"> <div class="form-header-group"><h1 id="header_48" class="form-header">Contributions</h1></div> </li><li class="form-line" id="id_34"><div id="cid_34" class="form-input-wide"> <div id="text_34" class="form-html"><p><strong>At Chabad, there is no annual membership or High Holiday seat charge in order to align with the core Jewish value of acceptance for all.</strong><br />
Please consider contributing generously, enabling our center to continue servicing all. The 2025 High Holidays Budget is $36,000</p>
</div> </div></li><li class="form-line" id="id_66"><div class="form-label-left" id="label_66"><label for="input_66"> Gift amount: </label><label class="label-message" for="input_66"> </label></div><div id="cid_66" class="form-input"> <select class="form-dropdown" style="width:150px" id="input_66" name="q66_input66"><option value=""></option><option value="$18,000 Premium Season Sponsor">$18,000 Premium Season Sponsor</option><option value="$5000 Community Dinner Sponsor">$5000 Community Dinner Sponsor</option><option value="$3,600 Youth Impact Sponsor">$3,600 Youth Impact Sponsor</option><option value="$1800 Community BreakFast Sponsor">$1800 Community BreakFast Sponsor</option><option value="$1000 Kiddush Sponsor">$1000 Kiddush Sponsor</option><option value="$500 Baked Goods Sponsor">$500 Baked Goods Sponsor</option><option value="$180 Seat Sponsor">$180 Seat Sponsor</option><option value="Other - specify below.">Other - specify below.</option></select> </div></li><li class="form-line" id="id_67"><div class="form-label-left" id="label_67"><label for="input_67"> Please accept my donation of:<span class="form-required">*</span> </label><label class="label-message" for="input_67"> </label></div><div id="cid_67" class="form-input"> <div class="form-single-column"><span class="form-radio-item simple-mode"><label id="label_input_67" for="input_67"><span>$</span></label><input type="number" class="form-textbox validate[required]" id="input_67" name="q67_input67" value="" onkeypress="validateNumber(event)" /></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_75"><div class="form-label-left" id="label_75"><label for="input_75"> Dedication </label><label class="label-message" for="input_75"> </label></div><div id="cid_75" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_75_0" name="q75_input75" value="In honor of" /><label id="label_input_75_0" for="input_75_0"><span>In honor of</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_75_1" name="q75_input75" value="In memory of" /><label id="label_input_75_1" for="input_75_1"><span>In memory of</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_33"><div class="form-label-left" id="label_33"><label for="input_33"> Dedication Name(s) </label><label class="label-message" for="input_33"> </label></div><div id="cid_33" class="form-input"> <textarea id="input_33" class="form-textarea" name="q33_anyComments33" cols="40" rows="2"></textarea> </div></li><li class="form-line" id="id_71"><div class="form-label-left" id="label_71"><label for="input_71"> Total </label></div><div id="cid_71" class="form-input"> <div id="total_amount">$0.00 </div> </div></li><li class="form-line" id="id_30"><div class="form-label-left" id="label_30"><label for="input_30"> Payment </label><label class="label-message" for="input_30"> </label></div><div id="cid_30" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_30_creditCard" name="q30_payment30[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" /><label for="input_30_creditCard">Credit Card</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_30_paypal" name="q30_payment30[payment_method]" value="paypal" onclick="BuildSource.paypal(this)" /><label for="input_30_paypal">Paypal</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_30_other" name="q30_payment30[payment_method]" value="other" onclick="BuildSource.other(this)" /><label for="input_30_other">I am mailing a check</label> </span></td></tr><tr class="credit_card hide"><th colspan="2">Credit Card</th></tr><tr class="credit_card hide"><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express, Discover</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div><div class="cc-icon discover-icon"></div></div><input type="hidden" name="q30_payment30[cc_type]" id="input_30_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[visible, creditcard]" type="text" name="q30_payment30[cc_number]" id="input_30_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_30_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q30_payment30[cc_ccv]" id="input_30_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_30_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q30_payment30[cc_nameOnCard]" id="input_30_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_30_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card hide"><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q30_payment30[cc_exp_month]" id="input_30_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_30_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q30_payment30[cc_exp_year]" id="input_30_cc_exp_year" autocomplete="cc-exp-year"><option></option><option value="2025">2025</option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option></select>  <label class="form-sub-label" for="input_30_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="paypal hide"><td colspan="2">Paypal has been selected. Payment will take place on the next page.</td></tr><tr class="other hide"><td colspan="2">Chabad of Fremont - 4251 Peralta Blvd, Fremont, CA 94536</td></tr><tr class="billing_address hide"><th colspan="2">Billing Address</th></tr><tr class="billing_address hide"><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line" type="text" name="q30_payment30[addr_line1]" id="input_30_addr_line1" autocomplete="billing address-line1" />  <label class="form-sub-label" for="input_30_addr_line1" id="sublabel_30_addr_line1">Street Address</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-city" type="text" name="q30_payment30[city]" id="input_30_city" autocomplete="billing address-level2" />  <label class="form-sub-label" for="input_30_city" id="sublabel_30_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox form-address-state" type="text" name="q30_payment30[state]" id="input_30_state" autocomplete="billing address-level1" />  <label class="form-sub-label" for="input_30_state" id="sublabel_30_state">State / Province</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-postal" type="text" name="q30_payment30[postal]" id="input_30_postal" size="10" autocomplete="billing postal-code" />  <label class="form-sub-label" for="input_30_postal" id="sublabel_30_postal">Postal / Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown form-address-country" name="q30_payment30[country]" id="input_30_country" autocomplete="billing country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Eswatini">Eswatini</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands">Falkland Islands</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Polynesia">French Polynesia</option><option value="Gabon">Gabon</option><option value="The Gambia">The Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jersey">Jersey</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="North Korea">North Korea</option><option value="South Korea">South Korea</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option 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