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South Shore USY (Merrick, Bellmore, East Meadow)
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USYer's name
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Your answer
USYer's Cell Phone Number
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Your answer
Grade
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Your answer
School
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Your answer
Parent or Guardian's name(s)
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Parent or Guardian's email
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If your family belongs to a synagogue, please type its name below
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Have you been a part of our chapter in the past?
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Have you attended a meeting this year?
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Do you have any interest in taking on a leadership role in the chapter?
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Do you have any comments, concerns, or suggestions? If so, please share them below:
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