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YOUNG FAMILY MEMBERSHIP
To learn about membership and all its benefits
click here.
Young Family Membership Application
My Information
*
First Name
*
Last Name
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*
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*
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Are you Jewish?
Mother's Hebrew Name
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My Spouse/Partner
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If same: please leave blank
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Zip
Home Phone #
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Are you Jewish?
Mother's Hebrew Name
Father's Hebrew Name
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Occupation
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Can you read Hebrew?
Number of Children
Please Select
ONE
TWO
THREE
FOUR
Child #1 Information
First Name
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N/A or Unknown
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Female
*
Date of Birth
Child's Hebrew Name
Name of School
Grade
Child # 2 Information
First Name
Gender
N/A or Unknown
Male
Female
*
Date of Birth
Child's Hebrew Name
Name of School
Grade
Child # 3 Information
First Name
Gender
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*
Date of Birth
Child's Hebrew Name
Name of School
Grade
Child # 4 Information
First Name
Gender
N/A or Unknown
Male
Female
*
Date of Birth
Child's Hebrew Name
Name of School
Grade
Please answer a few questions below, we would love to get to know you!
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Thank you for joining! What made you decide to join our WJC family?
If you have any relatives that are currently members of the WJC, please list names and relationships:
How did you hear about WJC?
What are you looking for in being a member of the WJC family?
Is there anything you would like us to know about you/your family?
*
WE WOULD LIKE TO JOIN WJC AT THE YOUNG FAMILY MEMBERSHIP LEVEL
WE WOULD LIKE TO JOIN WJC AT THE YOUNG FAMILY MEMBERSHIP LEVEL
This membership is for the Jewish Year of 5785 (2024-2025)
Membership Fee will be prorated if joining mid-year.
Tue, October 29 2024 27 Tishrei 5785