Chavurah Application

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TAS Chavurah Program

Quick Links:
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Chavurah Application Form

Temple Adat Shalom Chavurah Application

Please take the time to complete the Havurah application if you are interested in being matched up with 5-10 individuals, couples or families with similar interests to meet together to share and learn. Your group may be focused around social, cultural, community-service, spiritual, educational or any combination. A successful Havurah requires a commitment by the group to plan and organize events.

First Name:
Last Name:
Age:
Email:
Occupation:
Business Phone:
Retired?:	Yes No
First Name:
Last Name:
Age:
Email:
Occupation:
Business Phone:
Retired?:	Yes No
Child's Name:
Child's Birthday:
Child's School:
Child's Name:
Child's Birthday:
Child's School:
Child's Name:
Child's Birthday:
Child's School:
Child's Name:
Child's Birthday:
Child's School:
Address:
City:
State:
Zip:
Phone:
How long have you been a member of TAS:
How long have you lived in the San Diego area:
Where are you originally from:
Sports and hobbies:
Children's Interests:
What types of activities would you like your Havurah to participate in? Please select as many as you're interested in.	Shabbat Celebrations Jewish Holidays Other Jewish Activities Social Educational Cultural Child Oriented Couple Oriented Singles Activities Other:
What benefits would you like to receive from joining a havurah:
Please provide any other comments or information that may be helpful in placing you in a Havurah:
Would you be willing to host the organizational meeting for your chavurah?	Yes No


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