CHAVER REGISTRATION: ADULT 1 INFO
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Email *
ADULT 1: FULL NAME, ADDRESS, CITY, STATE, ZIP *
CHECK IF JEWISH
Home phone number
cell phone number
Jewish name ("you ben/bat dad v'mom)
wedding date, if applicable
MM
/
DD
/
YYYY
Occupation
Special Skills / Talents
Yahrzeits of Immediate Relatives (include exact English dates of deaths and if deaths occurred before or after sundown)
Areas of Interest (or one you'd like to see us start)
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