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Thank you for your interest in becoming a part of the Stephen Wise Temple and Schools community!

Please fill out the following information to help us get to know a little bit about you.

If you have any questions, our team is here to help. Please contact our Membership Department at 310.889.2230 or Membership@WiseLA.org.

Member Information

Adult #1

Adult #2

* Adult #1 First Name

Adult #2 First Name

* Adult #1 Last Name

Adult #2 Last Name

* Adult #1 Date of Birth

Adult #2 Date of Birth

* Adult #1 Email Address

Adult #2 Email Address

* Adult #1 Mobile Phone

Adult #2 Mobile Phone

* Adult #1 Occupation

Adult #2 Occupation

(If Applicable) Wedding Date

Household Information

* Address - Line #1

Address - Line #2

* City

* State

* Zip Code

Home Phone (if applicable)

Child Information

Child #1 First Name

Child #2 First Name

Child #3 First Name

Child #1 Last Name

(if different)

Child #2 Last Name

(if different)

Child #3 Last Name

(if different)

Child #1 D.O.B.

Child #2 D.O.B.

Child #3 D.O.B.

Check here if you have more than 3 children:

Mazal Tov! We'll contact you to add them.

What is your date of marriage (if applicable):

Yahrzeit Information

Yahrzeit 1 - First and Last Name of Deceased

Yahrzeit 1 - Date of Death (English)

Yahrzeit 2 - First and Last Name of Deceased

Yahrzeit 2 - Date of Death (English)

Yahrzeit 3 - First and Last Name of Deceased

Yahrzeit 3 - Date of Death (English)

Yahrzeit 4 - First and Last Name of Deceased

Yahrzeit 4 - Date of Death (English)

Check here if you would like to submit more yahrzeit observances:

We will contact you to add them.

Check here if you would prefer to observe yahrzeits on Hebrew dates:

We will update your yahrzeits to the correct Hebrew dates

What are you interested in? Please check all that apply:

Areas of Interest:

Religious SchoolWise School (K-6)Early Childhood Center (Preschool)Parenting classesCamp Wise (Preschool - 6th Grade)Wise Temple Youth (teen programming)Bar/Bat MitzvahConversion to JudaismInterfaith Family ProgrammingLGBTQ ProgrammingIsrael (advocacy and education)Israel (culture and travel)Seeking Clergy for WeddingAdult Education / Lifelong LearningSocial Action and Social JusticeVolunteering for Temple activitiesYoung professionals group (20s and 30s)Events for newlywedsFamily-friendly eventsEvents for empty-nestersSeniors events (65+)Health and wellnessTravel opportunities

Tell us more about yourself and your interests:

How did you hear about Stephen Wise Temple

Please tell us who this is

Please indicate

Sat, December 21 2024 20 Kislev 5785

We make meaning and
change the world.

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15500 Stephen S. Wise Dr.

Los Angeles, CA 90077

Phone: 310.476.8561

Email: LetsConnect@WiseLA.org

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