New Member Registration - Form - Shir Hadash Reconstructionist Synagogue

2023-2024
New Member Registration

MEMBERSHIP CATEGORY

* Please identify your membership category for demographic information only.

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

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 - 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

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 - Emergency Contact

Name and Phone Number of Contact in case of emergency.

ADDRESS INFORMATION

* Address Line 1

Address Line 2

if required

* City

* State

* Zip Code

Home Phone

if applicable

* Marital Staus

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

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:

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

*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)?

Child 1 - Full name

Child 1 - Birthdate

Child 1 - Grade Entering

Child 2 - Full name

Child 2 - Birthdate

Child 2 - Grade Entering

Child 3 - Full name

Child 3 - Birthdate

Child 3 - Grade Entering

Child 4 - Full name

Child 4 - Birthdate

Child 4 - Grade Entering

* 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 $1,539. 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.

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, 2024. 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, 2024. 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.)

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.