The Jewish
Congregation of New Paltz
FAMILY
INFORMATION FORM 2008-2009
Please return
this form, particularly if there are changes from last year or if your family’s
birthday or
anniversary information has not been appearing in the Sh’ma.
Adults
Name ______________________________________ Birthday
__________________
Name ______________________________________ Birthday
__________________
Wedding Anniversary
(if applicable) ________________
Children
Name __________________________________ Age _______
Birthday___________
Name __________________________________ Age _______
Birthday___________
Name __________________________________ Age _______
Birthday___________
Other Household
Members? ____________________________________________
Email _________________________________ Phone ______________________
Anything you would like the congregation to know about you
or your family? ________
________________________________________________________________________________
_________________________________________________________________________________ Any particular
skills family members would be able to share with the congregation?
_________________________________________________________________________________
_________________________________________________________________________________
Would you like to have yahrzeits
for relatives added to the congregation’s monthly remembrance? (no need to list those that already appear in the Sh’ma).
Name Secular date of death (w/year) Relationship to congregant Hebrew Name (if known)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________