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Shalom Baby Registration
Our Jewish Federation of Broward is excited to welcome you and your family to Shalom Baby! Please provide information below to receive a FREE swag bag as well as be connected to other Shalom Baby families in your area.
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Shalom Baby Program is generously sponsored by CBR. For more information, please visit:
https://www.cordblood.com
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Relationship to Baby
Your answer
Baby's Name
Your answer
Baby's Date of Birth or Due Date
*
MM
/
DD
/
YYYY
Baby's Gender
Female
Male
It'll be a surprise
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Baby's Mailing Address
*
Your answer
Parents Complete Names
*
Your answer
How did you hear about us?
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Your answer
How do you identify your family? (Choose one)
We are all Jewish
We are multi-heritage
We are not Jewish
Other
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On a scale of 1 to 5, with 1 being least connected and 5 being most connected, how connected do you feel to your local Broward Jewish Community?
Not connected at all
1
2
3
4
5
Extremely connected
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May we share your email address with our sponsor CBR so you can be invited to one of their educational webinars or in-person events with other families in the area?
Yes
No
Clear selection
Anything else we should know?
Your answer
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