We are a Community Center - 'where everyone is family'. Let us know about the people and dates that important in
Your life, so we can be able to best serve you.
Family Information Form
Husband Information
Wife Information
Full Name
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Hebrew Name
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Email
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Cell
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Anniversary
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English Birthday
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After night fall
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Hebrew Birthday
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We will fill it out, unless you would like to
Click here for your Hebrew Birthday
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Profession
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Child Information
Full Name
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Hebrew Name
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English Birthday
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After night fall
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Hebrew Birthday
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We will fill it out, unless you would like to
Click here for your Hebrew Birthday
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Full Name
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Hebrew Name
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English Birthday
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After night fall
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Hebrew Birthday
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We will fill it out, unless you would like to
Click here for your Hebrew Birthday
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Full Name
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Hebrew Name
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English Birthday
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After night fall
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Hebrew Birthday
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We will fill it out, unless you would like to
Click here for your Hebrew Birthday
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For additional children, please use this box to fill in the above mentioned information.
Yartzeit Information
Full Name
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Hebrew Name
Relationship
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English Date
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After night fall
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Hebrew Date
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We will fill it out, unless you would like to
Click here for your Hebrew Date
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We will fill it out, unless you would like to
Click here for your Hebrew Date
Full Name
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HebrewName
Relationship:
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English Date
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After night fall
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Hebrew Date
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We will fill it out, unless you would like to
Click here for your Hebrew Date
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