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Torah or Haftarah reader?
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Davening leader?
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Would you like to learn either?
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Please indicated any interest in the following Or Zarua activities:
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Please write your Hebrew name in this format: (Your name) ben/bat (Father's Hebrew Name) and (Mother's Hebrew Name)
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Is/was your birth mother Jewish?
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Date of Birth
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Would you like to be included in our Shabbat hospitality program for new members?
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Profession
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Business - Zip Code
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Torah or Haftarah reader?
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No
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Davening leader?
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No
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Would you like to learn either?
Please Select One
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No
*
Would you like to be included in our Shabbat hospitality program for new members?
Please Select One
Yes
No
Please indicated any interest in the following Or Zarua activities:
Morning Minyan
Weekly Talmud Classes
Book Club
Hesed Committee
Hevra Kadisha
Ushering
Event Planning
Helping with synagogue mailings
Newsletter
Graphic Design
Youth/teen programming
Any special interests or concerns?
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Does Adult 2 live at the same address?
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Adult 2 - Address
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Adult 2 - City
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Adult 2 - State
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Adult 2 - Zip Code
How many children do you have?
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Child 1 - English Name
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Child 1 - Born before sunset?
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Child 1 - Birth mother Jewish?
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Child 1 - If mother converted prior to Child's Birth, please enter the Date, Place and name of Officiating Rabbi.
Child 1 - If child converted, please enter the Date, Place and name of Officiating Rabbi.
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Child 2 - English Name
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Child 2 - Hebrew Name
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Child 2 - Birth mother Jewish?
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Child 2 - If mother converted prior to Child's Birth, please enter the Date, Place and name of Officiating Rabbi.
Child 2 - If child converted, please enter the Date, Place and name of Officiating Rabbi.
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Child 3 - English Name
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Child 3 - Born before sunset?
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Child 3 - Birth mother Jewish?
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Child 3 - If mother converted prior to Child's Birth, please enter the Date, Place and name of Officiating Rabbi.
Child 3 - If child converted, please enter the Date, Place and name of Officiating Rabbi.
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Child 4 - English Name
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Child 4 - Birth mother Jewish?
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Child 4 - If mother converted prior to Child's Birth, please enter the Date, Place and name of Officiating Rabbi.
Child 4 - If child converted, please enter the Date, Place and name of Officiating Rabbi.
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How many yahrzeits do you have?
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Yahrzeit 1 - English Name
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Yahrzeit 1 - Date of Death
Yahrzeit 1 - Was the death before sunset?
Yahrzeit 2 - English Name
Yahrzeit 2 - Relation
Yahrzeit 2 - Hebrew Name
(Name) ben/bat (Father's Hebrew Name) and (Mother's Hebrew Name)
Yahrzeit 2 - Date of Death
Yahrzeit 2 - Was the death before sunset?
Yahrzeit 3 - English Name
Yahrzeit 3 - Relation
Yahrzeit 3 - Hebrew Name
(Name) ben/bat (Father's Hebrew Name) and (Mother's Hebrew Name)
Yahrzeit 3 - Date of Death
Yahrzeit 3 - Was the death before sunset?
Yahrzeit 4 - English Name
Yahrzeit 4 - Relation
Yahrzeit 4 - Hebrew Name
(Name) ben/bat (Father's Hebrew Name) and (Mother's Hebrew Name)
Yahrzeit 4 - Date of Death
Yahrzeit 4 - Was the death before sunset?
How did you learn about Congregation Or Zarua?
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Do you read The Jewish Week?
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Do you have a cemetery plot?
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If so, where?
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Might you be interested in a plot in Or Zarua's cemetery ?
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Sat, June 3 2023 14 Sivan 5783