BJCC Membership 2017-18
Name *
Your answer
Phone Number 1 *
(please indicate area code)
Your answer
Email address 1 *
Your answer
First & Last Name - Member 2 (adult)
Your answer
Phone Number 2
(please indicate area code)
Your answer
Email address 2
Your answer
If family membership, please include first & last name(s), and age(s), of any child(ren).
Your answer
Mailing Address (Street, City, State, Zip) *
Your answer
Membership Options: *
(please choose one)
Are you a new member? *
Do you have children attending the Religious School? *
Is everyone included in your membership application Jewish? If not, please explain.
(We have many interfaith families who are members. Knowing who identifies as Jewish and who doesn't is helpful for our programming.)
Your answer
Questions, additional notes, or anything you weren't able to indicate on the form that you'd like us to know about your family:
Your answer
We are a lay-led community that relies on members for all BJCC activities. If you have any special skills, interest in leading services, or interest in serving the BJCC, please indicate these things below.
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