Adopt a Shiva - Community

Thank you for taking part in this important initiative. Please fill out the form below to be connected with a bereaved family in Israel.

Adopt a Shiva

Shul / Institution Name*
Rabbi's Name / Institution Head*
First Last
Rabbi's Email / Institution's Email*
Contact Name (if not the Rabbi / Head)
First Last
Contact Email
Shul / Institution Location*
Street Address City State / Province / Region ZIP / Postal Code Country
7 + 4 =*
Name
This field is for validation purposes and should be left unchanged.

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