Temple Judea Havurah Interest Form - Form - Temple Judea

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Temple Judea Havurah Interest Form

Please verify reCaptcha before submitting the form.

* IF YOU ARE A MEMBER, PLEASE LOG IN. You are already logged in if your name is populated in the form. Login is located at the top right corner of your screen. If you are accessing this form through your phone, click the 3-line menu at the top right corner to log in.

Thank you for your interest in Temple Judea's Havurah Initiative!

* First Name

* Last Name

* Email

* Best Phone Number:

* Home Address

* City

* State

* Zip code

Please select the age ranges of the adults in your household. Select all that apply.

20-3031-4041-5051-6061-7071+

* Are you comfortable being in a Havurah that has children?

Please Select OnePlease select one.YesNoI am comfortable, but I would prefer not.It doesn't matter.

* How many children do you have living at home? Please select all that apply.

We do not have children living at home.We have a baby on the way.1234More than 4!

Please select the age ranges of the children in your household. Select all that apply.

InfantToddlerNursery school (ages 2.5-4)Young school age (ages 5-7)Older elementary (ages 8-10)Middle school (ages 11-14)High school (ages 15-18)College students (ages 19-22)Adult children 23 and older

List any dietary restrictions here.

* List any pet allergies here.

* List any pets in your home.

* What Jewish experience(s) is /are the most important to you? Please select all that apply.

Jewish learning and philosophyErev ShabbatHavdalahFestivals and HolidaysB'tzelem: Social Action and Social JusticeFamily EventsFood and CultureOther

* Would you like to be grouped with people at a similar age/stage as you?

Please Select OnePlease select one.I prefer a group that is in a similar age / stage as mine.I prefer varied ages and stages!Ages and stages do not matter.

One of our goals for the TJ Havurah Initiative is to connect people with others they may not yet know or know well. However, if you have requests, we will try our best to accommodate them! Requested people/ families:

* Please check any/all of the following categories of interest that would help us place you in a Havurah with people of similar interests.

Please select all that apply.Interfaith focusedGeography based (group with people who live near you)Single Parent FocusSimilar Career FieldsOther/ And

If "Similar Career," please tell us about your career(s).

If "other," please explain:

Please tell us a little bit more about you/your family, any additional interests, and what you'd like to get out of a Havurah:

Thank you for your interest! Someone from the TJ Havurah Committee will be in touch shortly.

Don't forget to click "SUBMIT!"

Wed, May 1 2024 23 Nisan 5784

Temple Judea | 5429 Lindley Avenue, Tarzana CA 91356 | 818.758.3800

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