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New Family Profile



We are very pleased that you have chosen to become a member of Makom Solel Lakeside, a warm, welcoming and sacred space. Please tell us all about yourself and your family.


or Primary Phone number





ie, vision, hearing, mobility and details for any.





ie, vision, hearing, mobility and details for any.




or College Name if applicable
or College level if applicable
if applicable

ie, vision, hearing, mobility and details for any.


or College Name if applicable
or College level if applicable
if applicable

ie, vision, hearing, mobility and details for any.


or College Name if applicable
or College level if applicable
if applicable

ie, vision, hearing, mobility and details for any.


or College Name if applicable
or College level if applicable
if applicable

ie, vision, hearing, mobility and details for any.


if applicable
if applicable
if applicable please list child(ren)'s names

if applicable
if applicable
if applicable please list child(ren)'s names

if applicable
if applicable
if applicable please list child(ren)'s names

if applicable
if applicable
if applicable please list child(ren)'s names











Mon, August 10 2020 20 Av 5780