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Membership Record
Please verify reCaptcha before submitting the form.
Join Date
Martial Status
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
Wedding Anniversary Date
Prefix
Dr.
Mr.
Mrs.
Ms.
Miss
Gender
Member A- Full Name
Member A- Nickname
Member A- Date of Birth
Prefix
Dr.
Mr.
Mrs.
Ms.
Miss
Gender
Member B- Full Name
Member B- Nickname
Member B- Date of Birth
Address
Apt/Unit #
City
State
--Select State--
Alabama
Alaska
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Arkansas
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Connecticut
Delaware
District of Columbia
Florida
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Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Nebraska
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New Hampshire
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New Mexico
New York
North Carolina
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Ohio
Oklahoma
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Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Subdivision
Member A - Cell Phone Number
Member A - Email
Member B - Cell Phone Number
Member B- Email
Home Phone
Member A- Instagram
Member A- LinkedIn
Member A- Facebook
Member B- Instagram
Member B- LinkedIn
Member B- Facebook
Member A- Occupation
Member A- Business Name
Member A- Work Phone
Member A- Work Email
Member B- Occupation
Member B- Business Name
Member B- Work Phone
Member B- Work Email
Member A- Years in Atlanta
0
1
2
3
4
5
6
7
8
9
10
Member A- Hometown
Member B- Years in Atlanta
0
1
2
3
4
5
6
7
8
9
10
Member B- Hometown
Member A- Prior Synagogue, Location and Date of Membership
Member A- Positions Held
Member B- Prior Synagogue, Location and Date of Membership
Member B- Positions Held
Member A- Hebrew Name
Member A- Mother's Hebrew Name
Member A- Father's Hebrew Name
Member A- Tribe
Cohen
Levi
Yisrael
None Set
Member A- Were you born Jewish?
Yes
No
Member A- Bar/Bat Mitzvah (Y/N) and Date
Member A- If converted, date, by whom, and where
Member A- Can you read Hebrew
Yes
No
Member A- Do you have any relatives at Etz Chaim if so, list with relationship
Member B- Hebrew Name
Member B- Mother's Hebrew Name
Member B- Father's Hebrew Name
Member B- Tribe
Cohen
Levi
Yisrael
None Set
Member B- Were you born Jewish
Yes
No
Member B- Bar/Bat Mitzvah (Y/N) and Date
Member B- If converted, date, by whom, and where
Member B- Can you read Hebrew
Yes
No
Member B- Do you have any relatives at Etz Chaim if so, list with relationship
Child Name
(click + to add more)
Child(ren) Name
Sex
Female
Male
Date of Birth
Adopted
Yes
No
School Grade
Jewish Day School
Yes
No
Hebrew Name
Bar/Bat Mitzvah Date
Observed Yahrzeits
(click + to add more)
Full Name of Deceased
Relationship to Deceased
Mourner of Deceased
Member A
Member B
Both
Secular Date of Death (MM/DD/YY) Before or After Sunset
We are delighted to have you join our community!
What would you like to get from Etz Chaim?
What would you like to give to Etz Chaim?
What areas of interest would you like more information?
Become Engaged!
Please check off below areas of interest:
Budget/Financials
Chavurot/Friendship Group
Chesed/Caring Committee
Chevrah Kaddish/Burial Society
College Connection
Fundraising
Inclusion Committee
Interfaith Family Program
Lead Services
Library
Lilmode/Adult Education
Men's Club
Minyannaires/Ritual Committee
Preschool (Teacher or Volunteer)
Pride Alliance (LGBTQIA)
Religious School (Teacher or Volunteer)
Roots Groups (Interested Based Small Groups)
Social Action
Synagogue Office Volunteer
Sisterhood
Social Events Programming
The Prime Timers (50s and up)
Torah/Haftarah Readers
Young Adults
Young Family Programming
Youth Commission
We look forward to receiving your information.
If you have any questions, please contact us at 770-973-0137.
Sat, July 27 2024 21 Tammuz 5784