Membership High Holidays Form 2025-Simcha Hall

SIMCHA HALL HIGH HOLIDAYS TICKETS

Tickets for Yom Kippur are Available at Half Price
Instructions: Everyone is entitled to tickets for themselves and their dependent children (Age 6 - 24).
All fields with * are required to be filled before submission.

High Holidays TICKETS must be picked up at
NESSAH OFFICE in Person with a valid ID

Seating	Age 6 - 17	Age 18 - 24	Age 25 and older	Preferred

Men Simcha Hall	$75	$75	$100	$188
Women Simcha Hall	$75	$75	$100	$188

Please select your Membership Type:

Individual

* Email Address

It will be used for confirmation Email.

* First Name

* Last Name

* Primary Address

* City

* State

* Zip

* Mobile Phone

Home Phone

* Birth Date

First Adult

* Email

It Will be used for confirmation Email.

* First Name

* Last Name

* Address Line 1

* City

* State

* Postal Code

* Mobile Phone

Home Phone

* Date of Birth

* Do you want to add spouse or 2nd Adult?

Second Adult

* Second Adult First Name

* Second Adult Last Name

* Second Adult Date of Birth

* Second Adult Gender

* Do you want to add first child?

* First Child Name

* First Child Age

* 1st Child Birth Date

* First Child Gender

* Do you want to add second child?

* Second Child Name

* Second Child Age

* 2nd Child Birth Date

* Second Child Gender

* Do you want to add third child?

* Third Child Name

* Third Child Age

* 3rd Child Birth Date

* Third Child Gender

* Do you want to add forth child ?

* Forth Child Name

* Forth Child Age

* 4th Child Birth Date

* Forth Child Gender

Please Choose Number of Regular Seats for People Age 6-17 ($75 Per Person)

Please Choose Number of Regular Seats for People Age 18-24 ($75 Per Person)

* Please Choose Number of Regular Seats for People Age 25 and Older ($100 Per Person)

Please Choose Number of Preferred Seats (Any Age) ($188 Per Person)

* Individual Ticket Payment

Individual Amount

Total Amount

* Accept Membership & Code of Conduct

YesNessah Congregants Code of Conduct

Consent to Email Communication?

YesNo

Consent to SMS (text) Communication?

YesNo

Agreement to Terms
By submitting a Membership Application, all individuals included on the Membership Application agree to the terms on the Membership Application.
Delinquent Accounts
After August 29, 2025, any individual who is delinquent in the payment of (1) the cumulative sum of dues, assessments, pledges or charges (account balance) in an amount greater than $1,000 or (2)year 2022, 2023 or 2024 membership dues shall be shall be ineligible for membership and shall not be a member. These individuals may still purchase High Holiday tickets.
Disclaimer
By submitting this Application, the applicant and/or member(s) of Nessah Synagogue agree that in the event the applicant and/or member(s) commences any action or proceeding against Nessah Synagogue, or Nessah Synagogue commences any action or proceeding against the applicant and/or member(s), related in any way, shape or form to the person's membership in Nessah Synagogue, the prevailing party, in addition to any other legal or equitable remedy, shall be entitled to recover from the other party(ies) all reasonable attorneys’ fees and other costs sustained by the prevailing party in such action or proceeding.
Our Mission
Nessah’s central mission is to fuel the light of Judaism in the hearts of future generations through our daily and weekly prayers, educational seminars and social events. Nessah’s goal is to unite the Jewish community, and to bring us closer to our Jewish roots.

Fri, October 17 2025 25 Tishrei 5786

142 S. Rexford Dr., Beverly Hills, CA 90212 • 310-273-2400

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