(TEST) SF Registration Form

Want to get connected to Jewish life at UW–Madison? Whether you’re a student, alum, or community member, this form is your first step. Sign up to hear about events, meet new people, and grab coffee, tea, or even a cup of Matzo ball soup or a grilled cheese at Adamah cafe.
Name*

First NameLast Name
Pronouns
Email (wisc.edu)
Email (personal)*
example@example.com
I am a(n) admitted/current student or community member:*

UndergraduateGraduate StudentAlumniCommunity Member or Young Professional
I expect to graduate college in

20252026202720282029Other
Expected College Graduation Year*
If not sure please select "other"
Mobile Phone*
Other Phone
WISC STUDENT ID
student Id #
Non-Campus Address*

Street Address

Street Address Line 2

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Postal / Zip Code
Parent or Family Member 1 Info
Parent Name or Family Member

First NameLast Name
Parent or Family Member Email
Parent or Family Member Phone #
Parent or Family Member (2nd)
Additional Parent or Family Member

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Email additional Parent or Family Member
Phone additional Parent or Family Member
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Tell us about your interests
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Please share with us some of your interests

AcapellaArts/CultureBirthright IsraelBusiness/NetworkingChallah BakingEnvironment/OutdoorsGeneral ProgramsIsrael ProgramsJournalismLeadership/InternshipLearning/SpeakersLGBTQ CommunityShabbat/HolidaysSocial Action/Community Service
Should be Empty:

Parent or Family Member 1 Info

Parent or Family Member (2nd)

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