The PJ Library Sign Up Form

Thank you for your interest in the PJ Library! Fill out the form below to be part of our wonderful program.

Please keep in mind that at this time we can only send books and music to Jewish children who are 6 months
to 6 years of age who live in the Multnomah County, Washington County, Clackamas County or Clark County.

The beauty of this innovative program is its ability to nurture and activate affiliated and unaffiliated Jewish
families within our midst who feel they have an undernourished sense of Jewish identity or tradition within
our own homes.

Without the generosity of a visionary group of mothers, including Elizabeth Menashe, Eve Stern,
Lois Schnitzer (through the Leonard and Lois Schnitzer Supporting Foundation of the OJCF), Lila Goodman,
Renee Holzman (through the Holzman Family Foundation) and Shirlee Lenske, a project this forward-thinking
could never have occurred.

If you have any questions, please call Julie Diamond at (503)248-9328, or e-mail at julied@ojcf.org.

*The following fields are required:

*Parent/Guardian Name (if different)
*Child's Name:
*Child's Gender (M/F):
*Child's Date of Birth - age 6 or younger only (XX/XX/XXXX):
*Child's Mailing Address
*City, State & Zip
Parent/Guardian Email
*Parent's Telephone (xxx-xxx-xxxx)
How did you hear about the PJ Library?

Do other children at this address already receive books and music from the PJ Library (Y/N)?

Is the child a member of a synagogue (Y/N)?

If so, which synagogue?

Your Name (If not a parent)
Relation to Child
Your Email