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Membership Registration Form

Membership Registration Form

We request this information for our confidential member files. Your assistance will allow us to serve you better. If you have any questions, please contact our office. Welcome to Tiferet Bet Israel!
 


     HOUSEHOLD INFORMATION          


     FIRST ADULT HEAD OF HOUSEHOLD          

  

Please use TRANSLITERATION; please do not write in Hebrew letters.

Please use TRANSLITERATION; please do not write in Hebrew letters.

Please use TRANSLITERATION; please do not write in Hebrew letters.





     FIRST ADULT - INTEREST & SKILLS          

Please provide information to help us connect you to the TBI community. This information will be shared with the appropriate committee or staff member.



     SECOND ADULT HEAD OF HOUSEHOLD          

  

Please use TRANSLITERATION; please do not write in Hebrew letters.

Please use TRANSLITERATION; please do not write in Hebrew letters.

Please use TRANSLITERATION; please do not write in Hebrew letters.





     SECOND ADULT - INTEREST & SKILLS          

Please provide information to help us connect you to the TBI community. This information will be shared with the appropriate committee or staff member.


     CHILDREN RESIDING IN HOUSEHOLD           

Full or part-time, through college age

Please click the + sign to add each child


  

     SIGNIFICANT ADULT NOT RESIDING IN HOUSEHOLD           

(For example, divorced parent)

Please click the + sign to add each Adult

NOTE: If this individual is the separated or divorced parent of child(ren) enrolled in schools of Tiferet Bet Israel we will send duplicate mailings to him/her unless we are instructed otherwise by the member parent.


  

     YAHRZEITS          

Tiferet Bet Israel will send notice annually, approximately one month in advance of the Hebrew anniversary of death, as a reminder of yahraeit of your loved one. If the Hebrew date is not known, please indicate the time of day on the English date, to help establish the correct Hebrew date.

Please click the + sign to add each Yahrzeit


  

      PERMISSION TO USE IMAGES OF HOUSEHOLD MEMBERS         

Please indicate below your permission for TBI to record and use photographs and video of each household member for publicity purposes in our newsletter, on our website, in brochures, and for other materials.

Please click the + sign to add each family member


Sat, March 2 2024 22 Adar I 5784