Austin Shmirah: Shomer Registration Form
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Email *
Last Name *
First Name *
Phone Number (cell preferred) *
########## (10 digits; include area code, e.g., 5125551234)
Street Address (including Apt. No.) [for funeral home security] *
City *
State *
Zip Code *
With which congregation(s) are you affiliated? Check all that apply. *
Required
After reading each group's requirements, select the shmirah team(s) you wish to join AND whose requirements you meet. 

Which shmirah team(s) would you like to be a part of? Check all that apply.
 *
Required
Are you often available on short notice during the times you are willing to serve? *
On WEEKDAYS, what times are you generally available? Check all that apply. 
On WEEKENDS, what times are you generally available? Check all that apply. (Note: Most congregations suspend shmirah on Shabbat. This question applies mainly to Saturday night and Sunday.)
ON-CALL OPTION: To save shmirah coordinators many futile phone calls, you can offer to be "on call" to take at least one shift whenever shomrim are needed at the time(s) you indicate. 

I'm willing to be "on call" at the following time(s). Contact me first!
Comments / Special Requirements
A copy of your responses will be emailed to the address you provided.
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