Become a Member
Hi everyone, please fill out this brief form to become a JAZY Member and get frequent information about our activities
* Required
Chanich/a's (Participant) Details
Name (first and Surname)
*
Your answer
Year level at school
*
Choose
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11 (Madatz/a)
Year 12 (Madatz/a)
Mobile number (if chanich/a has one)
Your answer
Email (If the chanich/a has one)
Your answer
Parent/Guardian 1 details
Name
*
Your answer
Preferred contact number
*
Your answer
Email
*
Your answer
Parent/Guardian 2 datails
Please answer in applicable
Name
Your answer
Preferred contact number
Your answer
Email
Your answer
Closing questions
Is this their first involvement with JAZY?
*
Yes
No
Are you a part of any other organisations in the wider Adelaide Jewish community?
*
Yes
No
Please specify which organisations you're a part of
*
Beit Shalom Synagogue
Adelaide Hebrew Congregation
Tarbut Society
None
Other:
Required
Why are you coming/sending the chanich/a to JAZY?
*
Your answer
In order for us to create the BEST EXPERIENCE we can at JAZY events, we would like you to find out why its important for you to come!
Which interstate movement is your child affiliated with?
*
Choose
Habonim Dror
Netzer
Hashomer Hatzair
B'nei Akiva
Betar
Hineni
HaTzofim
Not currently affiliated
Would you be interested in sending your child to an interstate movement's summer camp?
*
Yes
No
Maybe
How did you hear about JAZY?
*
My child has attended a camp or event before
Through our Synagogue
Through another Jewish body
Social Media
Word of mouth
Australian Jewish News
Other:
Any comments or questions
Your answer
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