Registration Form

Be part of a meaningful, shared religious and cultural experience in which you can take an active role. Major Discount on Religious School...Just another reason to join Havurat Shalom....

Family Name(s): ________________________________________________
 
 

Address: ______________________________________________________

______________________________________________________
 
 

Telephone(s): Home; _______________________ Work; ____________________
 
 

E-mail Address: ______________________________________________________
 
 
 
 
 
 

Please circle the committee(s) on which you wish to serve (please choose one):

Membership    Tzedakah     Social     Havurah     School

Also, please circle the holiday(s) celebration you would like to help organize. All families must select at least one:

High Holy Days     Chanukah     Purim     Passover     Shavuot     Shabbat     School