Mitzvah Day 2024 Registration Form

Thank you for being a part of Mitzvah Day! About one week prior to Mitzvah Day, you will receive specific information about your project assignment(s). If you have any questions, please contact Ellen Petler at [email protected] or (216) 371-2244, ext. 122.

* Name

* Home Phone

* Cell Phone:

* Email

Additional Names (and age if under 18)

First Choice Project

Second Choice Project

Third Choice Project

Additional Projects

OR Please assign me/us a project where volunteers are most needed

Count me/us in for a second Project on Mitzvah Day!

If you asked to be counted in for a second project, please list the project below

Monetary Donation

Donate to the Gilbert Silbiger Mitzvah Day Fund to help support Mitzvah Day projects below or mail a check to Mitzvah Day, Park Synagogue, 27500 Shaker Blvd., Pepper Pike, OH 44124.

Donation Amount:

Waiver

All participants, regardless of age, must sign the waiver below. For participants under the age of 18, a parent or guardian must sign.

I understand that I am a volunteer on projects organized by The Park Synagogue with non-profit groups across greater Cleveland. I understand that I am responsible for my behavior and will only perform volunteer work that I feel comfortable doing. I agree to release The Park Synagogue and any of its employees, clergy, agents, officers of any and all claims that may arise as a result of any expenses, personal injury, loss or damage incurred by me during my participation in these voluntary projects.

* Your typed name(s) below indicates acceptance of the above waiver.

Account Details

E-mail

Enter your name and e-mail address for your confirmation

First Name

Last Name

Payment Information

Account

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Comments

For added Security please check the box below.

Total: