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Adult Member 1
First Name
Last Name
Preferred Pronouns
He/him/his
She/her/hers
They/them/their
Other
Other
Hebrew Name
Father's Hebrew Name
Mother's Hebrew Name
Birthday
Email Address
Cell Phone
Occupation
Emergency Contact
Name
Relationship
Phone Number
Add another adult?
Please Select
Yes
No
Adult Member 2
First Name
Last Name
Preferred Pronouns
He/him/his
She/her/hers
They/them/their
Other
Other
Hebrew First Name
Father's Hebrew Name
Mother's Hebrew Name
Birthday
Email Address
Cell Phone
Occupation
Emergency Contact
Name
Relationship
Phone Number
Married to Adult 1?
Please select
Yes
No
Anniversary Date
Address
Address Line 2
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
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District of Columbia
Florida
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Hawaii
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Michigan
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Mississippi
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Nevada
New Hampshire
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Ohio
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Puerto Rico
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Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Home Phone
Children
# of Children
Please Select
0
1
2
3
4
First Name
Last Name
Preferred Pronouns
He/him/his
She/her/hers
They/them/their
Other
Other
Hebrew Name
Father's Hebrew Name
Mother's Hebrew Name
Birthday
School
Grade 2020-2021
First Name
Last Name
Preferred Pronouns
He/him/his
She/her/hers
They/them/their
Other
Other
Hebrew Name
Father's Hebrew Name
Mother's Hebrew Name
Birthday
School
Grade 2020-2021
First Name
Last Name
Preferred Pronouns
He/him/his
She/her/hers
They/them/their
Other
Other
Hebrew Name
Father's Hebrew Name
Mother's Hebrew Name
Birthday
School
Grade 2020-2021
First Name
Last Name
Preferred Pronouns
He/him/his
She/her/hers
They/them/their
Other
Other
Hebrew Name
Father's Hebrew Name
Mother's Hebrew Name
Birthday
School
Grade 2020-2021
Yahrtzeits
Add a yahrtzeit?
Please Select
Yes
No
Name of Deceased
Relative of:
Relationship
English or Hebrew Observance
Please select one
English
Hebrew
Date of Death
Add another yahrtzeit?
Please Select
Yes
No
Name of Deceased
Relative of:
Relationship
English or Hebrew Observance
Please select one
English
Hebrew
Date of Death
Add another yahrtzeit?
Please Select
Yes
No
Name of Deceased
Relative of:
Relationship
English or Hebrew Observance
Please select one
English
Hebrew
Date of Death
Add another yahrtzeit?
Please Select
Yes
No
Name of Deceased
Relative of:
Relationship
English or Hebrew Observance
Please select one
English
Hebrew
Date of Death
Notes to the Office/Rabbis:
Mon, March 16 2026
27 Adar 5786
Upcoming Programs & Events
Mar
19
Queer Torah Study for Everybody w/ Rabbi Laurie Green at Friedman JCC 6:30 PM
Thursday, Mar 19 6:30pm
Mar
26
TBB Book Club w/ Rabbi Laurie Green on Zoom
Thursday, Mar 26 6:30pm
Mar
27
New Member Shabbat Service
Friday, Mar 27 6:30pm
Apr
1
JCC Seder Dinner call JCC to attend /RSVP 570-824-4646
Wednesday, Apr 1 6:00pm
Apr
3
TBB Office & Building Closed & No Shabbat Services due to Passover & Easter Holidays
Friday, Apr 3 7:00am
This week's Torah portion is
Parashat Vayikra
Shabbat, Mar 21
Erev Passover
Wednesday, Apr 1
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Mon, March 16 2026 27 Adar 5786
