Update/Capture Family Info | Victory Park Hebrew Congregation

Account

If you would like to create an account on this site, check the box below and enter a Username. If you already have an account please login before completing this form.

Create an account?

Username

Check Availability
Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

✅ Please fill out this form for each person in your household.

Once you submit, you’ll be able to come back and enter another family member.
This helps us keep accurate birthday and contact info for everyone in the community.
For children, leave the email address and contact number blank, unless they have their own.
(Don't use your email address/mobile phone number for a child or it will over-write your details.

First Name *

Last Name *

Please complete the Email Field if you want to receive a copy of the weekly newsletter. Leave blank if this is a child

Email (Primary)

Gender ID

Female Male Other

Please leave the Mobile Phone field blank if this is a child

Mobile Phone

Birth Date

Street Address (Home)

Full Hebrew Name

Fathers Full Hebrew Name

Mothers Full Hebrew Name

If this person is married - what date did they get married?

Date got Married

Thank you!
Once you click Save, the form will open again and you can add another member.