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| Form Name: |
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| First Name: |
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| Last Name: |
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| Home Phone: |
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| Cell Phone: |
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| Email: |
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| SCA Membership ID #: |
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SCA HAVURAH CLUB MEMBER INTEREST SURVEY |
| Celebrations / Parties |
Jewish Holidays American Holidays |
| Dining |
Formal / Lavish Informal |
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Ethnic Dine In (at member houses) |
| Games |
Poker Mah Jongg Hand and Foot |
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Train Push Pan |
Other Games
(please describe) |
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| Travel: |
Shows / Casinos Weekday trips |
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Weekend trips Extended Travel / Tours |
| Other Travel: |
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| Activities: |
Dance Exercise Hiking |
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Bowling Movies Guest Speakers / Presentations |
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Community Events Volunteering |
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Classical Music Lectures |
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Theater Series Other Cultural Events |
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| Other Activities and Comments: |
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