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FAMILY INFORMATION FORM

ืžื™ื“ืข ื–ื” ื™ืฉืžืฉ ื›ื“ื™ ืœืขืงื•ื‘ ืื—ืจ ืื™ืจื•ืขื™ื ื’ื“ื•ืœื™ื ื›ืงื˜ื ื™ื ื‘ื—ื™ื™ื, ื›ืš ืฉื”ืฉื˜ื™ื‘ืœ ื™ื•ื›ืœ ืœื”ื›ื™ืจ ื‘ื›ื ื›ืจืื•ื™, ื‘ื™ืŸ ืื ื‘ืฆื•ืจื” ืฉืœ ืขืœื™ื™ื”, ื”ื›ืจื–ื•ืช ืื• ื”ืฆืขืช ืžืฉื‘ืฆืช ืกืคืฆื™ืคื™ืช ืœ-10 ื“ืงื•ืช ืฉืœ ืœืžื™ื“ื”. ืื ื• ืจื•ืฆื™ื ืœื•ื•ื“ื ืฉื›ื•ืœื ืžืจื’ื™ืฉื™ื ืฉืจื•ืื™ื ืื•ืชื ื•ืชื”ื™ื” ืœื”ื ื”ื–ื“ืžื ื•ืช ืœื”ื™ื•ืช ืžืฉืชืชืคื™ื ืคืขื™ืœื™ื ื‘ืงื”ื™ืœื”.

โ€‹

ื–ื” ื™ืฉืžืฉ ื›ื“ื™ ืœืขื–ื•ืจ ืœืขืงื•ื‘ ืื—ืจ ื”ืžืงื•ืžื•ืช ื”ื’ื“ื•ืœื™ื ื•ื”ืงื˜ื ื™ื ื‘ื—ื™ื™ื, ื›ืš ืฉื”ืฉื˜ื™ื™ื‘ืœ ืœื”ื›ื™ืจ ืื•ืชืš ื›ืจืื•ื™, ื‘ื™ืŸ ืื ืื—ืจืช ืžื™ื“ืข ืขืœื™ื™ื”, ืคืจืกื•ืžื•ืช ืื• ื”ืฆืขื” ืœื”ืขื‘ื™ืจ ืœื™ืžื•ื“ ื‘ืฉื‘ืช ืกืคืฆื™ืคื™ืช. ืื ื• ืจื•ืฆื™ื ืœื•ื•ื“ื ืฉื›ื•ืœื ื™ืจื’ื™ืฉื• ื—ืœืง ืžื”ืงื”ื™ืœื” ื•ื™ืฉ ื”ื–ื“ืžื ื•ืช ืœื”ื™ื•ืช ืžืฉืชืชืคื™ื ืคืขื™ืœื™ื ื‘ืงื”ื™ืœื”

Please complete for each family member Bar/Bat Mitzvah and up:

ื ื ืœืžืœื ืžื™ื“ืข ืขื‘ื•ืจ ื›ืœ ื‘ืŸ ืžืฉืคื—ื” ืžื’ื™ืœ ื‘ืจ/ื‘ืช ืžืฆื•ื•ื” ื•ืžืขืœื”:

Name for Aliyah / Misheberach

Kohen / Levi / Yisroel
ื›ื”ืŸ - Cohen
ืœื•ื™ - Levi
ื™ืฉืจืืœ - Yisroel
ืชืืจื™ืš ืœื™ื“ื” ืœื•ืขื–ื™ - Birthday
ื™ื•ื
ื—ื•ื“ืฉ
ืฉื ื”

© 2025 ืžื ื™ื™ืŸ ื”ืžืฉืคื—ื” ื‘ืืคืจืช

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