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Conversion Class Registration form

CONVERSION CLASS MEMBER INFORMATION AND REGISTRATION FORM

Thank you for your interest in joining Temple Beth El West Palm Beach Congregation. Please complete this form to get started.

FAMILY INFORMATION 

Please note: Your form submission is not complete until you hit the "submit to process" button at the end of this form and until payment is processed

ADULT INFORMATION

ADULT 1

How would you like to get involved?

ADULT 2

How would you like to get involved?

ADDITIONAL INFORMATION

OTHER 1

OTHER 2

OTHER 3

OTHER 4

OTHER 5

OTHER 6

YAHRZEIT INFORMATION

YAHRZEIT 1

YAHRZEIT 2

YAHRZEIT 3

YAHRZEIT 4

YAHRZEIT 5

YAHRZEIT 6

ADDITIONAL INFORMATION

Sat, July 27 2024 21 Tammuz 5784