Join the Jewish Community - Registration form

Number of Adults*

Number of Children*

Your Name*

First Name Last Name

E-mail*

Phone Number

Area Code Phone Number

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Adult #2 Name*

First Name Last Name

Adult #2 E-mail*

Adult #3 Name*

First Name Last Name

Adult #3 E-mail*

Adult #4 Name*

First Name Last Name

Adult #4 E-mail*

What type of JCC activities interest you most?

What type of classes or lectures would you be interested in

What kind of activities would you like your children to be involved in?

Child 1

Child's Name Date of Birth

Child 2

Child's Name Date of Birth

Child 3

Child's Name Date of Birth

Child 4

Child's Name Date of Birth

The JCC rabbis are available to meet with you or any member of your family. Would you like to meet with one of our rabbis?

Yes, I would like to meet with one of the JCC Rabbis

Do you have a mezuzah on the door of your home?

No, please contact me about getting a mezuzah for my home. Yes, I have a mezuzah and I would like someone to come and check it.

Would you be interested in volunteering at JCC events?

Yes

Do you have a parent or elderly relative in this or any other community who would welcome a visit or regular visits from someone in the community?

Yes

Please list their name and contact info

Name of individual to visit Number or email

Would you like to volunteer to visit someone in need of friendship in the community?

Yes

Jewish Community Registration

Registration form

Registration Form

Personal Information

Interests

Family

Spiritual

Volunteering and Helping Others

Growing Garden Preschool

Academy of the Arts TK-6

Hebrew School

CGI Summer Camp