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LGBTQIA+ Interest at Temple Shalom
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Adult 1 First Name
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Adult 1 Last Name
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Adult 1 Mobile Phone
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Adult 1 Email
Adult 2 First Name
Adult 2 Last Name
Adult 2 Mobile Phone
Adult 2 Email
First and last names and ages of any children in your household:
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Are you a Temple Shalom member?
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Yes
No
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Are you interested in implementing and participating in future programming for the LGBTQIA+ community at Temple Shalom?
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Yes
No
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Please list some activities and events you are interested in seeing for the LGBTQIA+ community at Temple Shalom:
Tue, December 24 2024
23 Kislev 5785
Tue, December 24 2024 23 Kislev 5785
