Quit survey 2019 - 2020 Membership 1. Question Title * 1. Please enter your personal contact information below. The next question will ask for information about other members of your household, if applicable. * Your first and last name: * Your Hebrew name for being called up to the Torah (___ ben/bat ___): * Your email address: * Your phone number: Question Title * 2. Household information (please fill out based on persons who live with you as applicable): First and last name of spouse/partner: Hebrew name of spouse/partner: Name of Child 1: Name of Child 2: Name of Child 3: Name of Child 4: Question Title * 3. Will you be joining us all year, or just for the High Holidays? All year Just for High Holidays Next