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TAS Havurah Program

Quick Links:
Havurah Home
Havurah Havdalah at La Jolla Shores, Sat, Aug. 23. 2008, 4pm
Havurah Happenings
Havurah Application Form


Temple Adat Shalom Havurah 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 havurah?
Yes   No

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