Chavurah Application

MEMBER A

* First Name

* Last Name

* Email

* Phone number

* Business Position

MEMBER B

First Name

Last Name

Phone number

Business Position

MAILING ADDRESS

* Address

* City

* State

* Zip code

CHILDREN

Name

Boy/Girl

Age

Living at home?

Name

Boy/Girl

Age

Living at home?

Name

Boy/Girl

Age

Living at home?

Name

Boy/Girl

Age

Living at home?

QUESTIONS

* Describe your religious background

* Are the ages of other members or their children in the Chavurah important to you?

* What kind of activities would you like to do in a Chavurah?

* What are you looking for in a Chavurah?

Sun, May 11 2025 13 Iyar 5785

Beth Israel of San Diego | 9001 Towne Centre Drive | San Diego, CA 92122, USA