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June 11 Shabbat Registration Form

You are invited to a particularly special Shabbat service, honoring Rabbi Wainer's service to NVHC at our first Friday night in the sanctuary since March 6, 2020! We come together to express the combination of sadness and joy for Rabbi Wainer heading off on the next phase of her career, while also celebrating an opportunity to be together as one community in our sanctuary.

Due to current COVID restrictions, we are limiting the number of in-person attendees to 125. We will also livestream the service on Zoom and YouTube for those who do not wish to attend in person.

Please fill out the form below to sign up and sign the COVID waiver.


I hereby:
  • Acknowledge that I seek as an NVHC employee or for my family and me to participate in activities with others within NVHC;
  • Acknowledge that NVHC has put in place preventive measures to try to reduce the risk of spread of COVID-19, but that NVHC makes absolutely no warranty of any kind, and expressly disclaims any warranty whatsoever with respect to the condition of its property, premises, environment, personnel and/or others regarding COVID-19;
  • Acknowledge that NVHC cannot guarantee that my family and/or I will not become infected with COVID-19 as a result of participating in NVHC activities;
  • Acknowledge that I must comply with all NVHC procedures to reduce the risk of spread while working on the premises and/or participating in NVHC activities;
  • Acknowledge that any refusal to follow NVHC procedures will result in denial of my ability to work in or participate in activities at the discretion of NVHC leadership.
  • Acknowledge that NVHC may provide my name to appropriate health care agencies as part of contact tracing efforts tracking the spread of COVID-19 cases;
  • Acknowledge that I will cooperate if health care agencies contact me as part of contact tracing efforts tracking the spread of COVID-19 cases from NVHC.

I confirm that:
  • I do not believe I have been exposed to someone with a suspected and/or confirmed case of the COVID-19 within the previous 14 days;
  • I have not been diagnosed with COVID-19. If I have been diagnosed with COVID-19, I have been cleared as non-contagious by state or local public health authorities, and/or my personal physician;
  • I am not experiencing symptoms of COVID-19; if I am, NVHC can deny entry into the facility;
  • If on or before any date that I wish to enter NVHC, any of the foregoing statements change, I agree to immediately notify Joe Miller, Executive Director, at NVHC either by telephone – 703-437-7733; or email at joe@nvhcreston.org.


In consideration of the statements above, I, individually and on behalf of my children, agree that I and my children are knowingly and voluntarily assuming the risk of potential exposure to COVID-19 during our participation in NVHC activities, and accept sole responsibility for any sickness or injury to ourselves (including, without limitation, disability, and loss of life). I, individually and on behalf of my children therefore each hold harmless from and agree not to sue NVHC and its officers, directors, employees, agents, representatives, successors and assigns, for, any and all liabilities, claims and causes of action of any kind, which I or my children may ever have relating to COVID-19 in connection with our participation in NVHC activities.
**If you register for this service and find out prior to the service that you are unable to attend, please contact Joe Miller at joe@nvhcreston.org so that another congregant may be able to attend.**
Sun, July 25 2021 16 Av 5781