Young Israel of Northridge Orthodox Synagogue
Family Profile


Member's Name

Hebrew Name (English transliteration) (son of)

Member's Birthday

Occupation

Spouse's Name

Hebrew Name (English transliteration) (daughter of)

Spouse's Birthday

Occupation

Anniversary (date/year)

 

Home Address

City/Zip Code

Home Phone No. (xxx-xxx-xxxx)

E-Mail Address

Member's cell phone #

Spouse's cell phone #


Child's Name

Child's birthday (month/day/year)

Child's Name

Child's birthday (month/day/year)

Child's Name

Child's birthday (month/day/year)

Child's Name

Child's birthday (month/day/year)

Child's Name

Child's birthday (month/day/year)

Child's Name

Child's birthday (month/day/year)

Child's Name

Child's birthday (month/day/year)
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Young Israel of Northridge. 17511 Devonshire Street, Northridge, CA 91325
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