Mitzvah Day

To participate in a Mitzvah Day activity station (bracelet making for Save a Child's Heart and/or card making for Community of Caring), please pre-register below. Activity stations will be outdoors, all participants must wear masks at all times, and proof of vaccination is required for all who are eligible.

If you are just dropping off collection items, you do not need to pre-register.

To sign up to donate blood, please go to https://tinyurl.com/Mitzvah110721

Parent First Name

Parent Last Name

Cell Phone

I'm dropping my child off at an activity station while I donate blood. (Pre-register your child(ren) below.)

I'm dropping my child off at an activity station while I donate blood. (Pre-register your child(ren) below.)Activities will be supervised and run by our teens and adult volunteers. You may leave your child at an activity station after checking in while you are donating blood.

To sign up to donate blood, please go to https://tinyurl.com/Mitzvah110721

Participant 1 First Name

Participant 1 Last Name

Participant 1 Age (if under 18)

Proof of Vaccination - Participant 1

I am fully vaccinated and have previously submitted proof of vaccination.I am fully vaccinated and will email proof of vaccination to alicia@templealiyah.orgI am fully vaccinated and will submit proof of vaccination belowI am 11 years old or younger

Upload Proof of Vaccination - Participant 1

Participant 2 First Name

Participant 2 Last Name

Participant 2 Age (if under 18)

Proof of Vaccination - Participant 2

Upload Proof of Vaccination - Participant 2

Participant 3 First Name

Participant 3 Last Name

Participant 3 Age (if under 18)

Proof of Vaccination - Participant 3

Upload Proof of Vaccination - Participant 3

Participant 4 First Name

Participant 4 Last Name

Participant 4 Age (if under 18)

Proof of Vaccination - Participant 4

Upload Proof of Vaccination - Participant 4

Participant 5 First Name

Participant 5 Last Name

Participant 5 Age (if under 18)

Proof of Vaccination - Participant 5

Upload Proof of Vaccination - Participant 5

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