Machane TBA New Family Information Form

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Welcome to Temple Beth Ami!
We are a vibrant, inclusive, innovative community that embraces the beauty, meaning, and inspiration found in Reform Judaism. We provide a spiritual foundation to our congregants so they may be encouraged to engage in life-long Jewish learning, pursue spiritual growth, and promote social justice for all.

Please complete the form below to create your family's ShulCloud Account.

Questions? Contact Debbie Ezrin, Executive Director

Adult Information

* Adult 1: First Name

* Adult 1: Last Name

* Adult 1: Email

* Adult 1: Mobile

* Adult 1: DOB

Adult 2: First Name

Adult 2: Last Name

Adult 2: Email

Adult 2: Mobile

Adult 2: DOB

Children

Number of Children: (under age 25)

Please complete the fields below for each child.

* First Name

Nickname

* Last Name

* DOB: (MM/DD/YYYY)

* Gender

Hebrew Name:

Primary Address

* Street (including unit/apt):

* City:

* Zipcode:

Is there anything you would like to share about you or your child(ren) not covered in this form?

Tue, April 15 2025 17 Nisan 5785