Congregation Beth El Interest Form - Form - Congregation Beth El

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Congregation Beth El Interest Form

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Thank you for completing the information below

Last Name

First Name

Street

City

State

Zip

E-mail

Please add to the Congregation Beth El e-mail list

Please add to the Congregation Beth El e-mail list

Home Phone

Cell Phone

* Are you married/partnered

Spouse/Partner Last

Spouse/Partner First

E-mail

Please add to the Congregation Beth El e-mail list

Please add to the Congregation Beth El e-mail list

Cell Phone

* If you have children please note the number below

* Child 1 Name

Child 2 Name

Child 3 Name

Child 4 Name

I would like to learn more about: (check all that apply)

Shabbat and holiday services and programsThe Jewish Learning Center (Hebrew School)The Thelma K. Reisman PreschoolLifelong LearningYoung Family ProgrammingTeen LifeB'nai MitzvahSocial ActionBoomers & Beyond

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Thu, January 2 2025 2 Tevet 5785

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