Moishe Kavod House - Membership Registration 2018
This form is where you sign up for membership. Once you've submitted, follow the link to the next form where you can submit your membership donation.
First Name *
Your answer
Last Name *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Phone number *
Your answer
Email address *
Your answer
Street Address *
Include house#, street, apt#
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Tell us about yourself
Check as many as apply to you!
Racial and ethnic identity
I grew up... (check all that apply)
Gender Identity
Preferred pronoun (e.g. she, he, they, he/she) or a short description of your gender identity
Your answer
Occupation
How do you spend your days?
Your answer
Anything else you want to share about yourself?
Your answer
If you are a new member, tell us how you found your way to Moishe Kavod House:
We want to be accessible to folks on both sides of the river. Would you come to regular Kavod events if they were in Cambridge/Somerville? (Shabbat/team meetings, etc.)
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