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Chavurah Interest Form
Please verify reCaptcha before submitting the form.
Primary Member on Account
*
Last Name
*
First Name
*
Birthday
*
Cell Phone Number
*
Email
Profession
Hometown
Secondary Member on Account (if Applicable)
Last Name
First Name
Birthday
Cell Phone Number
Email
Profession
Hometown
Street Address
*
City
Zip Code
*
Marital Status
Please Select One
Single
Married
Divorced/Separated
Widowed
What year did you join Temple Emanu-El?
How many children do you have
0
1
2
3
4
5
6
#1 Child Last Name
#1 Child First Name
#1 Child Birthday (MM/DD/YYYY)
#1 Child School
#2 Child Last Name
#2 Child First Name
#2 Child Birthday (MM/DD/YYYY)
#2 Child School
#3 Child Last Name
#3 Child First Name
#3 Child Birthday (MM/DD/YYYY)
#3 Child School
#4 Child Last Name
#4 Child First Name
#4 Child Birthday (MM/DD/YYYY)
#4 Child School
#5 Child Last Name
#5 Child First Name
#5 Child Birthday (MM/DD/YYYY)
#5 Child School
#6 Child Last Name
#6 Child First Name
#6 Child Birthday (MM/DD/YYYY)
#6 Child School
*
What are your/your family's Chavurah interests & lifestyle?
Active/Outdoor Activities
Jewish Life/Shabbat/Holidays
Activities with Children
Social Events (i.e., Bowling, skating, restaurants)
Other
If Other, please explain.
*
What are your/your family's Temple-related interests?
Brotherhood
Sisterhood
Caring Committee
Social Justice
Life Long Learning
Other
If Other, please explain.
*
What else is important to you in joining a Chavurah (e.g. strong likes/dislikes, important family dynamics or background, etc.)?nt to share, etc.)?
*
Are there specific members that you would like to be in a Chavurah with? Are there specific members you would NOT like to be in a Chavurah with?
Thu, November 21 2024 20 Cheshvan 5785
