Tri-Valley Cultural Jews Enrollment Form
If you would like to be contacted to discuss your questions before becoming a member, please click here:
Adult #1 Name
Adult #1 Nickname
Adult #1 Birthdate (mm/dd)
Adult #1 Email Address
Adult #2 Name
Adult #2 Nickname
Adult #2 Birthdate (mm/dd)
Adult #2 Email Address
City, State, Zip
Which activities in the organization would you like to participate in?
Jewish Culture School
Bar/Bat/Brit Mitzvah Prep
Is your home available for events?
How did you hear about our organization?
Yortseits you'd like us to remember (name, date and relationship to you):
Would you like to enroll your children in the Jewish Culture School at this time?
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