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2023-2024 Adult B'nei Mitzvah Program Registration
Please verify reCaptcha before submitting the form.
NOTE: If you are currently pursuing conversion to Conservative Judaism, completing the Foundations of Judaism course is a prerequisite to enrolling in the Adult B'nei Mitzvah Program.
First Name
Family (Last) Name
Full Hebrew name: Please include your name, your father's name if Jewish by birth or Avraham if Jewish by choice, and your mother's name if Jewish by birth or Sarah if Jewish by choice.
E-mail
Mobile
Residential Street Address (Line 1)
Residential Street Address (line 2)
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
If applicable, when did you complete the Foundations of Judaism course?
Are you a current member of the Jacksonville Jewish Center?
What would you like to gain by attending this program?
Thu, March 28 2024
18 Adar II 5784
Thu, March 28 2024 18 Adar II 5784