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Shuls
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Kosher

Enter your information - spouse information will be entered below (if applicable)
Name
Prefix First Last
Date of birth
MM
DD
YYYY
Hebrew Birth Month
Hebrew Birth Day
Cell Phone number
Home phone
Email
hebrew name in (name) BEN/BAT (father's name)
Tribe (males only)
- Kohen
- levi
- Yisrael
Bar Mitzvah Parsha (males only)
Spouse information:
- Not Applicable
Section Break
Wedding Anniversary
MM
DD
YYYY
Hebrew Wedding Anniversary Month
Hebrew Wedding Anniversary Day
Spouse Name
Prefix First Last
Spouse Date of birth
MM
DD
YYYY
Spouse Hebrew Birth Month
Spouse Hebrew Birth Day
Spouse Cell Phone Number
Spouse Home phone (if different)
Spouse Email
Spouse hebrew name in (name) BEN/BAT (father's name)
Spouse Tribe (males only)
- Kohen
- levi
- Yisrael
Spouse Bar Mitzva Parsha (males only)
Children living in your home
- Not Applicable
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
Child 1
Name
First Last (if different)
Gender
- Male
- Female
Child's Hebrew name in (name) BEN/BAT (father's name)
Child Bar Mitzva Parsha (males only)
Date of birth
MM
DD
YYYY
Hebrew Birth Month
Hebrew Birth Day
Child's Email (if over 13)
Child's Cell Phone number (if over 13)
Child's School
Other school
Child's current grade
Please share any hobbies, strengths, and interests.
Child 2
Name
First Last (if different)
Gender
- Male
- Female
Child's Hebrew name in (name) BEN/BAT (father's name)
Child Bar Mitzva Parsha (males only)
Date of birth
MM
DD
YYYY
Hebrew Birth Month
Hebrew Birth Day
Child's Email (if over 13)
Child's Cell Phone number (if over 13)
Child's School
Other school
Child's current grade
Please share any hobbies, strengths, and interests.
Child 3
Name
First Last (if different)
Gender
- Male
- Female
Child's Hebrew name in (name) BEN/BAT (father's name)
Child Bar Mitzva Parsha (males only)
Date of birth
MM
DD
YYYY
Hebrew Birth Month
Hebrew Birth Day
Child's Email (if over 13)
Child's Cell Phone number (if over 13)
Child's School
Other school
Child's current grade
Please share any hobbies, strengths, and interests.
Child 4
Name
First Last (if different)
Gender
- Male
- Female
Child's Hebrew name in (name) BEN/BAT (father's name)
Child Bar Mitzva Parsha (males only)
Date of birth
MM
DD
YYYY
Hebrew Birth Month
Hebrew Birth Day
Child's Email (if over 13)
Child's Cell Phone number (if over 13)
Child's School
Other school
Child's current grade
Please share any hobbies, strengths, and interests.
Child 5
Name
First Last (if different)
Gender
- Male
- Female
Child's Hebrew name in (name) BEN/BAT (father's name)
Child Bar Mitzva Parsha (males only)
Date of birth
MM
DD
YYYY
Hebrew Birth Month
Hebrew Birth Day
Child's Email (if over 13)
Child's Cell Phone number (if over 13)
Child's School
Other school
Child's current grade
Please share any hobbies, strengths, and interests.
Child 6
Name
First Last (if different)
Gender
- Male
- Female
Child's Hebrew name in (name) BEN/BAT (father's name)
Child Bar Mitzva Parsha (males only)
Date of birth
MM
DD
YYYY
Hebrew Birth Day
Hebrew Birth Month
Child's Email (if over 13)
Child's Cell Phone number (if over 13)
Child's School
Other school
Child's current grade
Please share any hobbies, strengths, and interests.
Child 7
Name
First Last (if different)
Gender
- Male
- Female
Child's Hebrew name in (name) BEN/BAT (father's name)
Child Bar Mitzva Parsha (males only)
Date of birth
MM
DD
YYYY
Hebrew Birth Day
Hebrew Birth Month
Child's Email (if over 13)
Child's Cell Phone number (if over 13)
Child's School
Other school
Child's current grade
Please share any hobbies, strengths, and interests.
Child 8
Name
First Last (if different)
Gender
- Male
- Female
Child's Hebrew name in (name) BEN/BAT (father's name)
Child Bar Mitzva Parsha (males only)
Date of birth
MM
DD
YYYY
Hebrew Birth Day
Hebrew Birth Month
Child's Email (if over 13)
Child's Cell Phone number (if over 13)
Child's School
Other school
Child's current grade
Please share any hobbies, strengths, and interests.
Yhartzeit list
add additional entries by clicking the plus sign to the right
Departed's english name Departed's hebrew name in (name) BEN/BAT (father's name) Yhartzeit observed by: Departed's Relation to observer(s) english date of death Hebrew date of death
Section Break
Mi Shebairach list (if applicable)
Please enter the names of individuals you wish to make a mi shebairach for when you get an aliyah. Add additional entries by clicking the plus sign to the right. If you entered hebrew names for immediate family members above, they will automatically be included. This field is for anyone you did not include above.
hebrew name in (name) BEN/BAT (father's name) English Name (firsrt and Last) Relation
I moved recently, or my address in the directory is incorrect.
Clicking "yes" will open a space to enter you address.
- Yes
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Any other information

Departed's english name	Departed's hebrew name in (name) BEN/BAT (father's name)	Yhartzeit observed by:	Departed's Relation to observer(s)	english date of death	Hebrew date of death

hebrew name in (name) BEN/BAT (father's name)	English Name (firsrt and Last)	Relation

Enter your information - spouse information will be entered below (if applicable)

Section Break

Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

Child 7

Child 8

Section Break