JCoSD New Member Form – Jewish Collaborative of San Diego

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Our Story
Donate, Join, or Add to Mailing List
- Become a Member or Add to Mailing List
- Donate to JCo
Calendar
Kids & Teens
Cohorts, Committees & Board Members
Videos
NEWS
Contact
SECURITY
Members

JCoSD New Member Form

Home / JCoSD New Member Form

JCoSD New Member Form

Name*
First Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Physical Address (if different than mailing address)

Street Address Address Line 2 City State ZIP Code
Home Phone or Primary Phone*
Cell Phone
Date of birth (for fun social reasons only)*
MM slash DD slash YYYY
Profession - Current or Prior
Personal Interests
Additional Family Member?*
- Yes
- No
(You may add up to six.)
Additional Family Member
First Last
Description of second family member
- Spouse / Partner
- Dependent
- Other
Email
Cell Phone
Date of birth (for fun social reasons only)
MM slash DD slash YYYY
Profession - Current or Prior
Personal Interests
Additional Family Member
First Last
Description of second family member
- Adult
- Dependent
- Other
Email
Phone
Date of birth (for fun social reasons only)
MM slash DD slash YYYY
Additional Family Member
First Last
Description of second family member
- Spouse / Partner
- Dependent
- Other
Email
Phone
Date of birth (for fun social reasons only)
MM slash DD slash YYYY
Additional Family Member
First Last
Description of second family member
- Adult
- Dependent
- Other
Email
Phone
Date of birth (for fun social reasons only)
MM slash DD slash YYYY
Additional Family Member
First Last
Description of second family member
- Adult
- Dependent
- Other
Email
Phone
Date of birth (for fun social reasons only)
MM slash DD slash YYYY
Additional Information
Cohorts & Programs
What Cohorts or Programs appeal to you and or your family?
- Games
- Book Club
- Yoga
- Israeli Dancing
- Cinema Night
- Family Havurah
- Hebrew Lab
- Kids Programming
- Teen Youth Group
- Visual Arts
- Gardening
- Cooking
- Current Issues Discussion
- Decoding Hebrew
- Modern Conversational Hebrew
- Rosh Chodesh
- Shirienu (Our Songs)
- Let's Connect
- Breathworks / Meditation
Committees
What Committees appeal to you and or your spouse?
- Membership
- Marketing
- Finance
- Website
- Events
- Prayer
- Tikkun Olam
- JCo Cares
- Cultural Programs
How did you hear about JCo?*
Were you previously a member of a Synagogue, which one? Where?
What do you feel is the strongest/most important characteristic of JCo?
How Can You Help?
Considering your interests, how might you be able to contribute your time and effort towards the Collaborative, towards the betterment of JCo? Examples: Marketing, Website, Finance, Legal, Education, Jewish History & Prayer, Outreach, Event Planning, Fundraising and Grant Writing, PR, Social Media, etc.
Directory?*
Would you like to be included in a member directory? The directory will be accessible electronically to members only.
- No
- Yes
Is there anything you'd like excluded from the directory?
- Physical Address
- E-mail Address
- Phone Number
- Children's Names and Ages
At times, we use pictures from events on facebook and other marketing purposes. If you do not want your picture shared, please click No.
- No
For some communications to our members we use Texting, If you do not want to receive texts from JCo, please click No.
- No
Family Simchot (Type of celebration, Date)
Family Yarzheits (Name, Relationship, English Date of Passing)
Emergency Contact Name*
First Last
Emergency Contact Phone*
Emergency Contact #2 Name
First Last
Emergency Contact #2 Phone*
After submitting this form you will be taken to a payment page.
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