Jewish Birthday Initiative
To inspire the community to celebrate their Jewish birthday in addition to their secular birthdays.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Complete Address *
English Birth Date *
MM
/
DD
/
YYYY
We need this information to calculate your Jewish birthday (why? Jewish dates start at night)
Birth Date Before Sunset *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Chabad Suite.

Does this form look suspicious? Report

Google Forms