Name
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First Name
Last Name
Who in your family is Jewish?
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Please select all that apply:
Mother
Father
Parent
Grandmother
Grandfather
I converted
No one, just curious
Birthday
*
MM
DD
YYYY
Email
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Phone
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(###)
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Occupation
Residence
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Bronx
Brooklyn
Long Island
Lower Manhattan
New Jersey
Queens
Staten Island
Upper Manhattan
Israel
Other
If you selected "Other" please specify where:
How did you hear about Gay Shabbat?
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Friend/loved one
Dating app (i.e. Hinge)
Instagram
Google
OneTable
Rabbi or communal leader
Other
If you selected "Other" or "Friend/loved one" above, please elaborate here:
Tell us about yourself!
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Please include a brief bio (can be bulleted) of up to 100 words.
By participating in any events or activities organized by Gay Shabbat, you consent to be photographed, filmed, and/or otherwise recorded. Your participation constitutes your consent to such photography, filming, and/or recording, and to any use, in any and all media, for any purpose, in perpetuity.
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We aim to make everyone feel safe and welcome. If this is something you are not comfortable with, please leave a comment or contact us prior to your participation.
I have read and agree to the terms and conditions.
Questions, comments, concerns, tea: