YAD Interest Form

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YAD: Young Adult Division Interest Form

Name*

Date of Birth*

Preferred Email:*

Cell Phone Number:

Twitter Handle:

Address*

Are you new to the area?

Select one:

Yes
No
No, but I just moved back.

What are your interests?

Select all that apply:

Arts & Entertainment
Volunteering & Tikkun Olam
Networking
Shabbat
LGBTQA
Philanthropy
Hiking & Outdoors

What is your status?

Select all that apply:

Single
In a relationship
Married
Young Family
Prefer not to say

Which of our partner organizations are you affiliated with?

Select all that apply:

Which best describes your role at the organization?

Select all that apply:

Member
Prospective Member
Leader/Committee/Board Member
My child is a student/young family
Alumni

I give Jewish Federation permission to use my photo for marketing purposes.

I agree to hold United Jewish Federation of Northeastern New York entirely free of any liability, including financial responsibility, for injuries incurred while participating in YAD activities.

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