Hametz release form

Passover Hametz Release New Form
Please complete this form and don't forget to click "submit" at the bottom of the page. Chag Someach!

Please fill in your address(es) below and then "Agree" to the terms of this agreement.

I, the undersigned who resides at the address(es) below, do hereby commit to fulfill the Mitzvot governing Passover to the best of my ability.
* Required
What is your address (or your addresses)? *
Please type in addresses (home, vacation residence) where you live and which may contain Hametz.
Your answer
1) I agree to make Hametz inaccessible in my home whether by secluding (taping-off/covering) all Hametz in designated, off limits areas of my food closet/pantry or by physically removing the Hametz from my kitchen and placing it in storage in an inconvenient place in my home. *
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Do Not Agree
Agree
2) I agree to inspect my kitchen and home and remove miscellaneous Hametz, to clean my microwave and oven and to sweep/vacuum all areas of my home to cleanse and purify my environment in preparation for holiness of the Festival. *
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Do Not Agree
Agree
3) I agree to use biodegradable products to the best of my ability- including paper plates and utensils throughout the Festival or a completely separate set of dishes and utensils which are used only on the Festival of Passover. *
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Agree
4) I agree to refrain from eating Hametz during the eight days of the Festival- from April 10th, 2017 at 10am through April 18th at 8PM. *
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Do Not Agree
Agree
While I make these commitments to myself in solidarity with traditional Jewish practice and history, I will also explain my commitment and the importance of my observance of these rituals of Passover to my family and friends, so that they can help me fulfill my commitments. *
Please type in the date of your commitment.
Your answer
Please type your name to indicate your "signature" and acceptance of this agreement. We will accept agreements only until Monday April 10th at 10AM EST. *
It is customary to include a donation payable to Sim Shalom. You can paypal a donation at http://www.simshalom.com/donations
Your answer
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