Congregation Anshai Torah

New Member
Form

Welcome to the Anshai Torah family. Please complete the information and submit this form. For questions, call the office at 972-473-7718.

Household Information

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Marital Status

Marriage Anniversary

Current Shul

Please list your current synagogue affiliation (name / location)

Jewish Community Orgnizations

Religious Traditions

(Orthodox, Conservative, Reform, Christian, celebrations, etc.)

Years in Dallas

Please list the number of years that you have been in Dallas

Feedback

How did you hear about Anshai Torah?

Kosher Home?

Do you keep a kosher home?

Within 2 miles?

Do you live within 2 miles of Anshai Torah?

Minyan Watch

May we add you to our Minyan Watch call list, for weekday occasions when we don't have a minyan?

Cemetary Plot?

Do you own a cemetery plot?

Location

Cemetery plot location?

ADULT 1

Title

(Mr, Ms, Mrs, Dr, Rabbi, Other)

First Name

Gender

Date of Birth

Cell Phone

Employer

Occupation

Work Phone

Hebrew Name

I am Jewish

Tribe

Bar/Bat Mitzvah Date

Bar Mitzvah Parsha

Parent's Names

Parent's Phone #s

ADULT 2

Title

(Mr, Ms, Mrs, Dr, Rabbi, Other)

First Name

Last Name

Gender

Date of Birth

Cell Phone

Employer

Occupation

Work Phone

Hebrew Name

I am Jewish

Tribe

Bar/Bat Mitzvah Date

Bar Mitzvah Parsha

Parent's Names

Parent's Phone #s

Children Information

how many children?

Child1 Name

Child1 Gender

Child1 Birth Date

Child2 Name

Child2 Gender

Child2 Birth Date

Child3 Name

Child3 Gender

Child3 Birth Date

Once your account is created, you will be able to access your account online and add additional information or additional children to your account.

Yahrzeit Information

We will notify you by letter a few weeks prior to the yahrzeit of your loved one(s). Once your account is created, you will be able to access your account online and add additional information or additional yahrzeits.

Name of Deceased

Relationship

Date of Death

Before/After Sundown

Name of Deceased

Relationship

Date of Death

Before/After Sundown

Name of Deceased

Relationship

Date of Death

Before/After Sundown

Skills & Talents

Do you have any special skills or talents that you would like to share?

Committee Interests

Committees

Please identify any areas of interest

Questions or Concerns

Questions

Please list any questions / concerns you would like addressed

New Family Membership

Household Information

ADULT 1

ADULT 2

Children Information

Yahrzeit Information

Skills & Talents

Committee Interests

Questions or Concerns