Adath Israel Membership Form - Form - Adath Israel Congregation

We are a warm, welcoming, and inclusive congregation. You are not obligated to answer any questions that make you feel uncomfortable. We are looking forward to getting to know you. Please feel free to ask if you have any questions. We look forward to getting to know you.

Current Date

Last Name

Home Phone

Home Mailing Address

City

State

Zip Code

Have you belonged to another synagogue in the last 5 years? If so, which one?

Adult 1 -Title

Adult 1 - First Name

Adult 1 - Middle Name

Adult 1 - Last Name

Adult 1 - Date of Birth

Adult 1 - Gender Pronoun

Adult 1 - Email

Adult 1 - Mobile Phone

Adult 1 - Tribe

Adult 1 - Hebrew Name

Translated in English

Adult 1 - Hebrew Name

in Hebrew if possible

Adult 1 - Jewish Background

Mother JewishFather JewishConversion with MikvahConversion without Mikvah

Adult 1 - Fathers English Name

Adult 1 - Fathers Hebrew Name

Adult 1 - Mothers English Name

Adult 1 - Mothers Hebrew Name

Adult 1 - Occupation

Adult 1 - Employer

Is there a second adult applying for Membership?

Adult 2 - Mobile

Adult 2 - First Name

Adult 2 - Middle Name

Adult 2 - Last Name

Adult 2 - Date of Birth

Adult 2 - Gender Pronoun

Adult 2 - Email

Adult 2 - Mobile

Adult 2 - Tribe

Adult 2 - Hebrew Name

Transliterated in English

Adult 2 - Hebrew Name

in Hebrew if possible

Adult 2 - Jewish Background

Mother JewishFather JewishConversion with MikvahConversion without Mikvah

Adult 2 - Fathers English Name

Adult 2 - Fathers Hebrew Name

Adult 2 - Mothers English Name

Adult 2 - Mothers Hebrew Name

Adult 2 - Occupation

Adult 2 - Employer

How many children live in the family home?

Child 1 - First Name

Child 1 - Middle Name

Child 1 - Last Name

Child 1 - Gender Pronoun

Child 1 - Date of Birth

Child 1 - Grade

Child 1 - Secular School Name

Child 1 - Hebrew Name

Transliterated in English

Child 1 - Hebrew Name

In Hebrew if possible

Child 1 - If birth mother is not Jewish, did child go to Mikvah?

Child 2 - First Name

Child 2 - Middle Name

Child 2 - Last Name

Child 2 - Gender Pronoun

Child 2 - Date of Birth

Child 2 - Grade

Child 2 - Secular School Name

Child 2 - Hebrew Name

Transliterated in English

Child 2 - Hebrew Name

In Hebrew if possible

Child 2 - If birth mother is not Jewish, did child go to Mikvah?

Child 3 - First Name

Child 3 -Middle Name

Child 3 - Last Name

Child 3 - Gender Pronoun

Child 3 - Date of Birth

Child 3 - Grade

Child 3 - Secular School Name

Child 3 - Hebrew Name

Transliterated in English

Child 3 - Hebrew Name

In Hebrew if possible

Child 3 - If birth mother is not Jewish, did child go to Mikvah?

Child 4 - First Name

Child 4 -Middle Name

Child 4 - Last Name

Child 4 - Gender Pronoun

Child 4 - Date of Birth

Child 4 - Grade

Child 4 - Secular School Name

Child 4 - Hebrew Name

Transliterated in English

Child 4 - Hebrew Name

In Hebrew if possible

Child 4 - If birth mother is not Jewish, did child go to Mikvah?

Is there anything about your Jewish Journey you want to share?

The names of your deceased loved ones will be read in synagogue the Friday evening before the Yahrzeit Date (anniversary of death). Unsure of the date? Choose a date on which to remember your loved one. Please include Hebrew names if applicable

How many name would you like to add to our Yahrzeit list?

Related to:

Relationship of Deceased to Adult

Deceased English Name

Deceased Hebrew Name

Burial Site

Secular Date of Death

Before/After Sundown

Related to:

Relationship of Deceased to Adult

Deceased English Name

Deceased Hebrew Name

Burial Site

Secular Date of Death

Before/After Sundown

Related to:

Relationship of Deceased to Adult

Deceased English Name

Deceased Hebrew Name

Burial Site

Secular Date of Death

Before/After Sundown

Related to:

Relationship of Deceased to Adult

Deceased English Name

Deceased Hebrew Name

Burial Site

Secular Date of Death

Before/After Sundown

We are thrilled for you to be part of our Adath Israel family!

All members are truly part of this community. We have a variety of ways you can contribute. We never want finances to be a barrier, and we will be glad to make it work financially for you. And if you are able to give more towards dues, we have special outstanding membership options for you.

Please chose a Membership Category:

My Annual Pledge will be $

Welcome!

Please join us for our meaningful in-person and virtual services and activities, experience our inspirational High Holiday services, connect with our warm and caring clergy, share your lifecycle events with us, and get involved by joining one of our amazing committees or social groups. Plus, members get special rates for facility rentals.

Families can join our community for engaging kids and family services throughout the year. Plus, you get special rates for religious school, B’nei Mitzvah, and our youth groups.

36 and Under
If you or the eldest member of your family is 36 or under, you qualify for voluntary dues. Please pledge a gift that would be personally meaningful for you. We are excited for you to be part of our family!

Enter an amount between $1485 and $1944:

Welcome!

Please join us for our meaningful in-person and virtual services and activities, experience our inspirational High Holiday services, connect with our warm and caring clergy, share your lifecycle events with us, and get involved by joining one of our amazing committees or social groups. Plus, members get special rates for facility rentals.

Families can join our community for engaging kids and family services throughout the year. Plus, you get special rates for religious school, B’nei Mitzvah, and our youth groups.

A $125 charge for the Building Fund will be added to your account.

Enter an amount between $1945 and $2374:

Welcome!

Please join us for our meaningful in-person and virtual services and activities, experience our inspirational High Holiday services, connect with our warm and caring clergy, share your lifecycle events with us, and get involved by joining one of our amazing committees or social groups. Plus, members get special rates for facility rentals.

Families can join our community for engaging kids and family services throughout the year. Plus, you get special rates for religious school, B’nei Mitzvah, and our youth groups.

A $125 charge for the Building Fund will be added to your account.

Enter an amount between $2375 and $2994:

You are passionate about Adath Israel, and ready and able to give more to help us grow now and in the future.

In addition to all the benefits of our Sustaining Memberships, Pillars are eligible to receive 2 reserved tickets for High Holidays, and Supporting Pillars are eligible to receive up to 4 reserved tickets.

Thank you for your extra investment in our community!

A $125 charge for the Building Fund will be added to your account.

Enter an amount between $2995 and $5374:

Enter an amount between $5500 and $10,999:

Shomer means guard. Shomer Members treasure our community and protect it. Boneh means builder. Bonim Members build Adath Israel, helping us achieve great heights. As Shomrim and Bonim Members, you show your tremendous commitment to our community.

In addition to all the benefits of our Sustaining Memberships, your membership includes the building maintenance fund, your High Holy Day appeal, tickets to the annual BBQ fundraiser, and member dues for affinity organizations. Plus, Shomrim are eligible to receive up to 6 reserved tickets for High Holidays, and Bonim are eligible for up to 8 reserved tickets.

Please feel free to be in touch with our Chief Operating Officer Chris Hannon at 513.792.5082 x115 for more information about our special Shomrim and Bonim program.

Thank you for your tremendous commitment to Adath Israel and our future!

Enter an amount between 11,000 and above:

Associate Membership - $420If you are a full member of another local synagogue OR if you live more than 100 miles away, then this membership can be perfect for you!

You can join our meaningful in-person or online services, connect with our warm and caring clergy, celebrate lifecycle events online, and qualify for a discount for lifecycle events at Adath Israel.

We are excited for you to be part of our Adath Israel family!

Would you like to make a donation to the United Synagogue? If yes, please enter amount below:

Would you like to make an additional building fund donation? If yes, please enter amount below:

Total Membership Commitment