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Member Data Form & Religious School Enrollment

Adult Member Information
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Person 1 Information
 
Adult 1 Information
Unless marked private, contact information will be published in our membership directory.

If you need assistance with your Hebrew name, please contact the Rabbi at rabbi@conkolami.org and he will happily assist you.

Person 2 (if applicable)
 
Unless marked private, contact information will be published in our membership directory.

If you need assistance with your Hebrew name, please contact the Rabbi at rabbi@conkolami.org and he will happily assist you.

Dependent Children (if applicable)
 
If you need assistance with your Hebrew name, please contact the Rabbi at rabbi@conkolami.org and he will happily assist you.
The RSRS Director will contact your for more information.
If you need assistance with your Hebrew name, please contact the Rabbi at rabbi@conkolami.org and he will happily assist you.
The RSRS Director will contact your for more information.
If you need assistance with your Hebrew name, please contact the Rabbi at rabbi@conkolami.org and he will happily assist you.
The RSRS Director will contact your for more information.
If you need assistance with your Hebrew name, please contact the Rabbi at rabbi@conkolami.org and he will happily assist you.
The RSRS Director will contact your for more information.
Yahrzeit Information (if applicable)
We will notify you on the Yahrzeit anniversary according to the Hebrew calendar.
 
Volunteer Interests
 
Mon, September 15 2025 22 Elul 5785