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ABOUT ME

Feel free to fill out as little or as much info as you like.

Full Name

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Jewish Name

Birthday

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I am a:

My major is:

Interested in:

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Past Jewish Involvemente.g. attended Hebrew school, went to Israel, belonged to a synogogue, went to Jewish camp, etc.

Something Interesting about Me

ABOUT MY PARENTS

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Father's Name

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Father's Number

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Home Address

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