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Emergency membership

Why join JCOGS?

We want to make sure every person in our Jewish community is cared for. Fill out this form to join for the next three months free of any cost so that we can be sure to be available to you throughout this crisis. 

Please read the application carefully, and feel free to ask us if you have any questions. Olivia Easdale is available at  jcogs@jcogs.org to assist with anything you might need.  

First Name

Last name


Contact & Household Information

Email

Mobile #

Home Phone # if applicable

Birthday

Hebrew First Name

Address & Street

Apartment/Unit # (if applicable)

City

State

Province

Zip Code

Country
Country

Address & Street

City

State

Province

Zip Code

Member 2

First Name

Last Name

Title

Email

Mobile #

Birthday

Hebrew First Name


Child 1

First Name

Last Name (if different)

Gender

Birthday

School

19-20 Grade Level

Child 2

First Name

Last Name (if different)

Gender

Birthday

School

19-20 Grade Level

Child 3

First Name

Last Name (if different)

Gender

Birthday

School

19-20 Grade Level

Child 4

First Name

Last Name (if different)

Gender

Birthday

School

19-20 Grade Level


Yahrzeit Information

Observer Name

Name of Deceased

Relationship to observer

Date of Passing
Hebrew date if known.

Before or after sundown

Observer Name

Name of Deceased

Relationship to observer

Date of Passing

Hebrew date if known.

Before or after sundown

Observer Name

Name of Deceased

Relationship to observer

Date of Passing

Hebrew date if known.

Before or after sundown

You may add more Yahrzeits once you complete this form and access your account.  Please contact JCOGS to inquire about Yahrzeit Memorial plaques: (802) 253-1800.

Volunteer Sign Up

Please feel free to give us any other information about your interests or areas of expertise.

Communication Preferences and Directory


Tue, March 31 2020 6 Nisan 5780