Introduction to Judaism Class
Registration for Fall 2018
This form is for both individuals and couples. Because so much of Judaism is practiced in the home, it is highly recommended that couples take the class together, even if both are Jewish.
Email address *
Indicate which semester you are enrolling in:
Name (First & Last) *
Your answer
Name of Partner (if applicable)
Your answer
Are you Jewish? *
Is your partner Jewish? (if applicable)
Address
Your answer
City, ST, Zip
Your answer
Cell Phone *
Your answer
Alternate Phone
Your answer
May we share your contact info on a class roster? *
Carpool Preferences (check all that apply)
Referring Rabbi (if applicable)
Your answer
How did you hear about this class? (check all that apply)
Age Group (if 2 people, check 2 if needed)
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