Participant Registration

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Participant Name*
Participant Address*

Help Us Get to Know You Better

Is this your first time participating in Chai Mitzvah?
Why did you join your Chai Mitzvah group?
Check all that apply.
What do you hope to achieve during this Chai Mitzvah year?
Check all that apply.
Do you belong to a synagogue or other prayer community?
Have you traveled to Israel?
How do you currently support your Jewish community?
Check all that apply.