Clone of Yom Hazikaron Event Registration

Yom Hazikaron Community-Wide Memorial Service

Monday, April 20, 5:30-6:30 p.m. at The Trager Family JCC
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Trager Family JCC MemberAdath Jeshurun MemberAnshei S'Fard MemberChabadKeneseth Israel MemberTemple MemberTemple Shalom MemberNo AffiliationOther
If "other affiliation" please list here
Total Number of Guests in Your Group (including you)*
Additional Guests
The following questions will help us secure grant funding and better support programs that serve our community.

Thank you for taking the time to answer them.
This is my first timeOnly for major holidays or a special eventA few times a yearMonthlyWeekly
I identify as JewishI do not identify as JewishI do not identify as Jewish, but someone in my household doesI am exploring JudaismN/A or I prefer not to answer
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Yom Hazikaron Community-Wide Memorial Service