Family Profile for CRC

Household Information

Please help us keep your information current and accurate in our systems by completing the below information if anything *has changed.* If you prefer to be thorough, feel free to complete the entire form. (Take care to check for typos, especially in names and email addresses.)

If you have questions, contact Nancy@centralreform.org or Ezra@centralreform.org.
Household Contact Information







Information for Adults in the Household

Complete the below form for each adult in the household. If there are additional adults to enter information for, click the turquoise link at the bottom right hand side that says "Add Information for Another Adult." You may continue to enter information for as many adults are in your household. 




Below you may enter this person's pronouns. (Learn more.) You may select multiple from the list on the left; if the right pronouns are not shown, type them in the box on the right.


Occupation Information








If there are additional adults in your household, such as partners or extended family under the same roof, click the turquoise link below here to the right ("Add Information for Another Adult") to enter information for them. If there are no other adults, click the purple button that says "Next Page."

Information about Children


Children in the Household

Complete the below form for each child in the household. If there are multiple children to enter information for, click the turquoise link at the bottom right hand side that says "Add Information for Another Child." You may continue to enter information for as many children are in your household. 






Address *IF DIFFERENT FROM PARENTS/GUARDIANS*






Below you may enter this person's pronouns. (Learn more.) You may select multiple from the list on the left; if the right pronouns are not shown, type them in the box on the right.


School Information





If there are additional children in your household, click the turquoise link below here to the right ("Add Information for Another Child") to enter information for them. If there are no other children, click the purple button that says "Next Page."

Information about Yahrzeits


Yahrzeit Information

Complete the below form for each yahrzeit. These yahrzeits are shared annually in our newsletters and by our rabbis in services.

If there are multiple yahrzeits to enter information for, click the turquoise link at the bottom right hand side that says "Add Information for Another Yahrzeit." You may continue to enter information for as many yahrzeits are in your household. 







If there are additional yahrzeits to enter information for, click the turquoise link below here to the right ("Add Information for Another Yahrzeit") to enter information for them. If there are no other yahrzeits, click the purple button that says "Submit."