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New Member Registration
Please verify reCaptcha before submitting the form.
2024-2025
New Member Registration
MEMBERSHIP
CATEGORY
*
Please identify your membership category for demographic information only.
Please Select One
2 Adult Household
1 Adult Household
2 Senior Household
1 Senior Household
Please refer to our
Membership Information Page
for help on which category to select.
ADULT 1 INFORMATION
Review the information below for accuracy and make any necessary updates or changes. This information will be reflected in the congregation's directory and for any mailings.
*
Adult 1 - First Name
*
Adult 1 - Last Name
Adult 1 - Nickname
Adult 1 - Pronouns
Please Select One
she/her
he/him
they/them
Adult 1 - Hebrew First Name
*
Adult 1 - Birthdate
*
Adult 1 - Mobile Phone
*
Adult 1 - Email Address
*
Adult 1 - Tradition
In what tradition were you raised?
*
Adult 1 - Occupation
Adult 1 - Business Name
Adult 1 - Business Phone
Adult 1 - Expertise and Interests
Adult Education
Attend Services/Shiva to ensure a minyan
Building Operations
Book Club
B'nai Mitzvah Coordination
Creative Worship & Ritual Planning
Finance Committee
Fundraising Committee
Garden Plots & Building Plant Maintenance
High Holiday Task Force
Human Resources Committee
Israel Committee
IT Committee
Legal Committee
Marketing & Communications Committee
Membership Committee
Men of Shir Hadash (MOSH)
Mitzvah Committee
Music: Instrumental
Music: Vocal
Oneg Helpers
Phone Tree
Programming Committee
Purim Carnival
Rosh Chodesh
School Parent Committee
Shop Shir Hadash online shopping program
Social Action
Social Justice
Sound / Video
Torah / Haftorah Chanting or Reading
Usher/Greeter
Web Design & Development
Women of Shir Hadash (WISH)
Youth Activities
Zoom Host
Adult 1 - Emergency Contact
Name and Phone Number of Contact in case of emergency.
ADULT 2 INFORMATION
*
Adult 2 - First Name
*
Adult 2 - Last Name
Adult 2 - Nickname
Adult 2 - Pronouns
Please Select One
she/her
he/him
they/them
Adult 2 - Hebrew First Name
*
Adult 2 - Birthdate
*
Adult 2 - Mobile Phone
*
Adult 2 - Email Address
*
Adult 2 - Tradition
In what tradition were you raised?
*
Adult 2 - Occupation
Adult 2 - Business Name
Adult 2 - Business Phone
Adult 2 - Expertise and Interests
Adult Education
Attend Services/Shiva to ensure a minyan
Building Operations
Book Club
B'nai Mitzvah Coordination
Creative Worship & Ritual Planning
Finance Committee
Fundraising Committee
Garden Plots & Building Plant Maintenance
High Holiday Task Force
Human Resources Committee
Israel Committee
IT Committee
Legal Committee
Marketing & Communications Committee
Membership Committee
Men of Shir Hadash (MOSH)
Mitzvah Committee
Music: Instrumental
Music: Vocal
Oneg Helpers
Phone Tree
Programming Committee
Purim Carnival
Rosh Chodesh
School Parent Committee
Shop Shir Hadash online shopping program
Social Action
Social Justice
Sound / Video
Torah / Haftorah Chanting or Reading
Usher/Greeter
Web Design & Development
Women of Shir Hadash (WISH)
Youth Activities
Zoom Host
Adult 2 - Emergency Contact
Name and Phone Number of Contact in case of emergency.
ADDRESS INFORMATION
*
Address Line 1
Address Line 2
if required
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code
Home Phone
if applicable
*
Marital Staus
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
Anniversary date
if applicable
*
I have reviewed this information, made necessary edits and it is currently correct. I understand that this information will be used for congregational communciations and will be published in the directory as listed here.
I have reviewed this information, made necessary edits and it is currently correct. I understand that this information will be used for congregational communciations and will be published in the directory as listed here.
CHILDREN'S INFORMATION
Please enter your child(ren)'s information by clicking the small + sign below. Keep clicking the + sign until you have finished entering all of your children. Please refer to our
Membership Information Page
for maximum age limits before children need their own membership accounts.
Child First Name
Child last name
Nickname
Hebrew Name
Child Birthdate
Child Pronouns
Please Select One
she/her
he/him
they/them
Child Mobile Phone #
(Please insert dashes)
If none, leave blank
VOLUNTARY COMMITMENT FOR MEMBERSHIP
Please refer to our
Membership Information Page
for more information about our Voluntary Commitment program.
Please choose a Voluntary Commitment Level:
Please Select One
Enter your own amount to the right
Adumim (Pillars) $10000
Shomrim (Guardians) $5000
Manhigim (Leaders) $4000
Break-Even Amount $3003
Chai (Life) $1800
Enter Your Own Voluntary Membership Commitment Amount
Please enter total amount for the year.
You may select an installment plan on the payment page
BULDING FUND
Please refer to our
Information Membership Page
for information about our Building Fund and your obligations in this area.
*
Building Fund Selection
Please Select One
$350 Building Fund
$1960 I would like to pay my entire Building Fund Commitment*
I was a member at another congregation and have fulfilled my obligations (additional information required).
I would like to speak to/have already spoken to the staff and worked out a different building fund amount for this year (fill in below)
*If you choose to pay your Building Fund commitment all at once, you receive a 20% discount off the total of $2450 for a full payment of $1960.
Please fill in the amount that you have already worked out with the Office Administrator.
RELIGIOUS SCHOOL TUITION
Do you plan to enroll children in the Religious School (K-7)?
Please Select One
No thanks
1 Child
2 Chidren
3 Children
4 Children
Child 1 - Full name
Child 1 - Birthdate
Child 1 - Grade Entering
Please Select One
KIndergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Child 2 - Full name
Child 2 - Birthdate
Child 2 - Grade Entering
Please Select One
KIndergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Child 3 - Full name
Child 3 - Birthdate
Child 3 - Grade Entering
Please Select One
KIndergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Child 4 - Full name
Child 4 - Birthdate
Child 4 - Grade Entering
Please Select One
KIndergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
*
Please enter your family's voluntary Religious School tuition (Grades K-7) below
This amount should include voluntary tuition for all students entering Grades K-7. The break-even amount per student this year is $1,600. Please refer to our
Membership Information Page
for more details about Religious School Voluntary Tuition.
MADRICHIM TUITION
Do you plan to enroll children in the Madrichim program (8-12)? The fee is $200 per child.
Please Select One
No thanks
1 Child - $200
2 Chidren - $400
3 Children - $600
4 Children - $800
For additional information about our Religious School, the Madrichim Program, Madrichim Tuition, the Madrichim Application form, and help on which forms you need to fill out, please refer to our
Membership Information Page
.
Child 1 - Full name
Child 1 - Birthdate
Child 1 - Mobile Phone
Child 1 - Email Address
Child 2 - Full name
Child 2 - Birthdate
Child 2 - Mobile Phone
Child 2 - Email Address
Child 3 - Full name
Child 3 - Birthdate
Child 3 - Mobile Phone
Child 3 - Email Address
Child 4 - Full name
Child 4 - Birthdate
Child 4 - Mobile Phone
Child 4 - Email Address
THE FINISH
*
As a new member of Shir Hadash, I/we understand I/we am/are making a commitment to support the Jewish community. I/we understand that all financial commitments must be current, and that I/we must be a Member in Good Standing (according to the policies of Shir Hadash) in order to receive High Holy Day access and other synagogue services. I/we further understand Shir Hadash depends upon this commitment and I/we pledge to fulfill my financial obligation on or before May 31, 2025. If I/we am/are unable to do so, I/we agree to contact the office to make alternative payment arrangements. My/Our good faith commitment to fulfill this membership pledge during the required time period is represented by my/ our entering my/our name(s) below.
As a new member of Shir Hadash, I/we understand I/we am/are making a commitment to support the Jewish community. I/we understand that all financial commitments must be current, and that I/we must be a Member in Good Standing (according to the policies of Shir Hadash) in order to receive High Holy Day access and other synagogue services. I/we further understand Shir Hadash depends upon this commitment and I/we pledge to fulfill my financial obligation on or before May 31, 2025. If I/we am/are unable to do so, I/we agree to contact the office to make alternative payment arrangements. My/Our good faith commitment to fulfill this membership pledge during the required time period is represented by my/ our entering my/our name(s) below.
I/we hereby grant Shir Hadash Synagogue permission to use my/our likeness(es), as well as those of my/our children, in a photograph, video, or other digital media (“photo”) in any and/or all its publications, including web-based publications, without payment or other consideration, and without name identification. (You may opt out of this clause for your children by calling the office or indicating so on the Religious School Registration form.)
I/we hereby grant Shir Hadash Synagogue permission to use my/our likeness(es), as well as those of my/our children, in a photograph, video, or other digital media (“photo”) in any and/or all its publications, including web-based publications, without payment or other consideration, and without name identification. (You may opt out of this clause for your children by calling the office or indicating so on the Religious School Registration form.)
Total Due
Includes voluntary commitment for membership, building funds. Includes voluntary tuition for religious school and Madrichim tuition when applicable. You may select an installment plan on the payment page. More details and help available on our
Membership Information Page
.
Sat, December 7 2024 6 Kislev 5785