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Temple Sholom Account Creation Form
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Person 1 Information
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Person 1 - First Name
Person 1 - Middle Name
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Person 1 - Last Name
Person 1 - Nick Name
Person 1 - Hebrew Name
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Person 1 - Mobile Phone
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Person 1 - Email
*
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Person 1 - Pronouns
He/Him/His, She/Her/Hers, They/Them/Theirs, etc.
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Person 1 - Date of Birth
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Person 1 - Occupation
Person 1 - Employer
Person 1 - Work Phone
Please select the Temple Sholom Community Groups from which you would like to receive information and periodic updates. Visit
sholomchicago.org
for information about Temple Sholom programs/community groups.
Adult Education
ARZA - Association of Reform Zionists of America ($50)
Book Club
Brotherhood ($36)
Caring Committee
Eco Chavura - Help make Temple Sholom more eco-friendly
Its out Turn - 50s Plus Programming
Klezmer/House Band
Makom - 20s & 30's Young Adults and Couples
Mishpacha - Programs for families with children under 12
Or Chadash - LGBTQ Programming
Women of Temple Sholom - WTS ($36)
Sholom Justice - Monday Meal, Feed the Hungry, Olam HaMitzvot, Holiday Projects, etc.
Person 2 Information
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Person 2 - First Name
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Person 2 - Mobile Phone
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be different from Member 1 Email
*
Person 2 - Gender
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Male
Female
Person 2 - Pronouns
He/Him/His, She/Her/Hers, They/Them/Theirs, etc.
*
Person 2 - Date of Birth
*
Person 2 - Occupation
Person 2 - Employer
Person 2 - Work Phone
Please select the Temple Sholom Community Groups from which you would like to receive information and periodic updates. Visit
sholomchicago.org
for information about Temple Sholom programs/community groups.
Adult Education
Book Club
Brotherhood ($36)
Caring Committee
Eco Chavura - Help make Temple Sholom more eco-friendly
Its out Turn - 50s Plus Programming
Klezmer/House Band
Makom - 20s & 30's Young Adults and Couples
Mishpacha - Programs for families with children under 12
Or Chadash - LGBTQ Programming
Women of Temple Sholom: WTS ($36)
Sholom Justice - Monday Meal, Feed the Hungry, Olam HaMitzvot, Holiday Projects, etc.
Family Information
Primary Address Line 1
Primary Address Line 2
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Child 2 - First Name
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Are you part of a family with multiple faith traditions (interfaith)?
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Do you or anyone in your household identify as a Jew of Color?
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Prefer not to say
Jews of Color is a term that is used to identify Jews whose family origins are originally in African, Asian or Latin-American countries. Jews of Color may identify as Black, Latino/a, Asian-American, or a mix of heritage such as biracial or multi-racial, and may include Jews from North African or Arab lands.
Tue, May 21 2024 13 Iyar 5784
Temple Sholom
Westlawn Cemetery & Mausoleum and Lakeshore Jewish Funerals