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Membership

NAME and ADDRESS INFO
Employment Information
Hobbies/Interests/Special Talents or Skills
Religious Information
Ex: Joe Levy (uncle)
EMERGENCY CONTACT INFO
Please provide contact information for someone outside of your immediate household that we may reach in case of emergency.
ACTIVITIES
Are you or a member of your family interested in participating in any of the following committees or activities? Please check all that apply
YAHRZEIT INFORMATION
The anniversary of the passing of a loved one. 
SHULCLOUD DATABASE
PJTC uses an online database to communicate, keep track of billing, etc. You can receive your login information and check your account once we've entered you into the system. We'd be very grateful if you could upload a photo of you/your family so we may learn your faces sooner! Other members will also be able to see this photo, but it is password-protected from the general public.
OPTIONAL DONATION
Your first year membership is free, but some new members still prefer to make a token donation. This is 100% optional! 
Enter the amount you would like to donate on the line above.
Tue, June 6 2023 17 Sivan 5783