HHD 2022

I am a...*

UC Berkeley Student
Student at another school
Family Member of Current Student
Community Member(s)
Young Alum
Faculty Member/Staff

Student Info

Name*

First Last

SID*

Berkeley Email*

Non-Berkeley Email*

Email*

Year of Graduation (Ex. 2025)*

Undergraduate
Graduate

What's the name of your school?

Major

Cell Number*

Yes, I'd like to be added to the Weekly Student Newsletter

Parent Info

Why do we ask for this? Everything we offer at Berkeley Hillel is a gift, and that is paid for by others. All we ask is that you share this information so we can grow our support in providing these amazing opportunities to the Jewish community at Cal.

Parent/Guardian 1 Name*

First Last

Parent/Guardian 1 Preferred Email*

Parent/Guardian 1 Phone*

Permanent or Parent/Guardian 1 Home address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian 2 Name

First Last

Parent/Guardian 2 Email

Parent/Guardian 2 Phone

My 2nd Parent/Guardian has...

Parent/Guardian 2 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Family Member Registration

Name*

First Last

Family Member Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Yes, I'd like to be added to the Berkeley Hillel Parent Newsletter
Yes, I'd like to be added to the Weekly Student Newsletter

Your Berkeley Student's Name*

Student's Year of Graduation

Attendee Info

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Year of Graduation*

Comments

This field is for validation purposes and should be left unchanged.

Day of High Holiday Registration

Student Info

Parent Info

Family Member Registration

Attendee Info