Kindly contact our Administrator, Mark Wiesel if you have any questions about filling out this form.  This includes requiring more fields for certain information.                     Admin@ShomreiTorahWCC.org  or  973.696.2500 x12.

Contact  Information

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FAMILY BACKGROUND INFORMATION

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Judaic Skills

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FAMILY INFORMATION

CHILDREN AT HOME (or in College):

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CHILDREN LIVING INDEPENDENTLY:

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OTHER ADULTS IN YOUR HOUSEHOLD

YAHRZEIT RECORDS

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CONGREGATIONAL ACTIVITIES & INVOLVEMENT

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