Children - Form - Beth Jacob Congregation

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Children

* Parent 1 Full Name

Parent 2 Full Name

* Email

How many children would you like to submit?

* Full English Name

Full Hebrew Name

Gender

* DOB

School

* Full English Name

Full Hebrew Name

Gender

* DOB

School

* Full English Name

Full Hebrew Name

Gender

* DOB

School

* Full English Name

Full Hebrew Name

Gender

* DOB

School

* Full English Name

Full Hebrew Name

Gender

* DOB

School

* Full English Name

Full Hebrew Name

Gender

* DOB

School

* Full English Name

Full Hebrew Name

Gender

* DOB

School

* Full English Name

Full Hebrew Name

Gender

* DOB

School

* Full English Name

Full Hebrew Name

Gender

* DOB

School

Shabbat starts Friday: 7:05PM

Shabbat ends Saturday: 8:13PM

Sat, August 23 2025 29 Av 5785

9030 W. Olympic Blvd., Beverly Hills, CA 90211

(310) 278-1911 | frontdesk@bethjacob.org

Candle Lighting

Shabbat, Aug 23, 7:13pm

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