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Membership

Membership

The Family Shul Membership Form

No charge for membership! All are welcome to join, regardless of background or affiliation!

SECTION I: YOUR INFO

SECTION II: SPOUSE'S INFO

Name

Name

Hebrew Name Hebrew Name
Father's Hebrew
Name
Father's Hebrew
Name
Mother's Hebrew
Name
Mother's Hebrew
Name
Occupation Occupation
Birth Date / /
MM / DD / YYYY format
Birth Date / /
MM / DD / YYYY format
Jewish by: Birth Converted Jewish by: Birth Converted
Check One: Cohen Levi Israel Check One: Cohen Levi Israel
eMail eMail
Cell Cell

SECTION III: PERSONAL INFORMATION

Address Marital Status
City/State/Zip Anniversary Date / /
MM / DD / YYYY format
Home Phone If Divorced: If divorced, do you have a
Jewish "Get" ? Yes No

SECTION IV: CHILDREN

Name

Birth Date

/ /
MM / DD / YYYY format

Name

Birth Date

/ /
MM / DD / YYYY format

Name

Birth Date

/ /
MM / DD / YYYY format

Name

Birth Date

/ /
MM / DD / YYYY format

Name

Birth Date

/ /
MM / DD / YYYY format

Name

Birth Date

/ /
MM / DD / YYYY format
Are any children adopted? Yes No If yes, give details, including any coversion info:

SECTION V: YAHRZEIT INFORMATION

Name


English / Hebrew / Father's Hebrew / Last

/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last

/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last

/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last

/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last

/ /
Date of Passing: MM / DD / YYYY
Relationship

Name


English / Hebrew / Father's Hebrew / Last

/ /
Date of Passing: MM / DD / YYYY
Relationship

SECTION VI: Please tell us which programs most interest you.

Shabbat Services Holiday Services High Holidays Sunday Minyan Daily Minayn Adult Education Hebrew School Childrens Programs Bar/Bat Mitzvah Women’s Circle Jewish Business Network Community Service
Other Would you like to join a committee ? Please spec if y


SECTION VII: General Questions

How did you find out about The Family Shul?
Did you belong to any Shul before this?

Are you affiliated with any other Jewish orgnization?
Notes:

No Charge for Membership : At the Family Shul we believe that you don't have to pay to pray, and therefore do not charge for membership. It is however, through your voluntary contributions that our doors remain open. We thank you for your support! May you see Hashems promise of your Tzedaka being repaid many times over.

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