Our Story
Mission and Vision
Rabbi Gabi Arad’s Bio
Rabbi Gabbi’s Writings
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Become a Member or Add to Mailing List
Donate to JCo
Calendar
Kids & Teens
Hebrew Lab
LOMED
Youth Group
Junior Chai: Path to B Mitzvah
Cohorts, Committees & Board Members
Cohorts
Committees
Board Members
Videos
Videos
Photo Gallery
How To Videos for FB Live & Notifications
NEWS
Contact
SECURITY
Members
Virtual Community (Members)
Pay Dues
Website Admin
Our Story
Mission and Vision
Rabbi Gabi Arad’s Bio
Rabbi Gabbi’s Writings
Donate, Join, or Add to Mailing List
Become a Member or Add to Mailing List
Donate to JCo
Calendar
Kids & Teens
Hebrew Lab
LOMED
Youth Group
Junior Chai: Path to B Mitzvah
Cohorts, Committees & Board Members
Cohorts
Committees
Board Members
Videos
Videos
Photo Gallery
How To Videos for FB Live & Notifications
NEWS
Contact
SECURITY
Members
Virtual Community (Members)
Pay Dues
Website Admin
JCoSD New Member Form
Home
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JCoSD New Member Form
JCoSD New Member Form
Name
*
First
Last
Email
*
Address
*
Street Address
Address Line 2
City
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American Samoa
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District of Columbia
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Northern Mariana Islands
Ohio
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Rhode Island
South Carolina
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Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Physical Address (if different than mailing address)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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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