5778 Membership Registration

Click below to download a pdf of the 5778 Membership Form.

Membership Information

Single & Family Memberships include:

  •  Hebrew school reduced tuition
  • Bar/Bat Mitzvah facilitation
  • 30% discount on Social Hall rental
  • Jewish Learning Institure (JLI) class discounts
  • High Holiday early bird reserved seating

Enhanced Membership Also includes:

  • Priority reservation on kiddush sponsorhsip for one occassion of your choice (Please call 614-939-0765 to reserve your date)

Associate Membership includes: 

  • Jewish Learning Institure (JLI) class discounts
  • High Holiday early bird reserved seating for two
Member First & Last Name*
Member Jewish Name
Member Birthdate
Member Mother's Jewish Name
Member Father's Jewish Name
Member Employer
Additional Member First & Last Name
Additional Member Jewish Name
Additional Member Birthdate
Additional Member Mother's Jewish Name
Additional Member Father's Jewish Name
Additional Member Employer

Children

First Child

Name
Hebrew Name
Birthdate

Second Child

Name
Hebrew Name
Birthdate

Third Child

Name
Hebrew Name
Birthdate

Fourth Child

Name
Hebrew Name
Birthdate
Do you have college age children? Please list their names and e-mail address(es).

Yartzeits

Hebrew Name for Dedication
Date
Relationship (i.e. mother of)

Preferences

Primary Program Interests
  • Hebrew School
  • Attending Weekly Classes
  • Women's Chessed Group
  • Men's Club
  • Chevra Kadisha
  • Shabbas Club
  • Shabbat Morning Minyan
  • Youth Group

Event Information

Quantity
Price
Total
Single Membership
X
$
700.00=
$
0

Single Enhanced Membership
X
$
1,000.00=
$
0

Family Membership
X
$
1,200.00=
$
0

Enhanced Family Membership
X
$
1,500.00=
$
0

Associate Membership
X
$
450.00=
$
0

High Holiday Aliyah
X
$
400.00=
$
0

Special High Holiday Aliyah
X
$
1,000.00=
$
0

Year-Round Aliyah
X
$
400.00=
$
0

Kiddish Sponsorship
X
$
400.00=
$
0

High Holiday Yizkor Booklet Unlimited Family Listings
X
$
150.00=
$
0

Quarterly Yizkor Booklet Unlimited Family Listings
X
$
250.00=
$
0

Final Total:
$
0

Payment Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code

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