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HSOSC Membership Application

Membership Application

   

  Adult #1 - Personal Information

   
(If applicable)


(If applicable)




(If applicable)
(If applicable)
 (If applicable)


Adult #1 - Parent Information

  


  Adult #2 - Personal Information







(If applicable)
(If applicable)
(If applicable)


Adult #2 -  Parent Information

 

  Children's Information

For those with children who live at home and are still enrolled in a full-time education program.
 

  Child #1

If different from yours

If different from yours

If applicable
If applicable

Year

  Child #2

If different from yours

If different from yours

If applicable
If applicable

Year

  Child #3

If different from yours

If different from yours

If applicable
If applicable

Year

   Additional Information
Please email Interim Executive Director, Amy Mallor (amy.mallor@hsosc-baltimore.org) if you are interested in learning more about Temple committees.

By signing this application, I/We understand that I/We are responsible for all financial obligations I/We incur with Har Sinai-Oheb Shalom Congregation (HSOSC).

Fri, July 30 2021 21 Av 5781