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First Name:

Last Name:



State: Zip: Phone:


Number of Adults: Children:

Services attending:

Rosh Hashana First day
Rosh Hashana Second Day
Kol Nidrei-Yom Kippur eve
Yom Kippur Day



(Optional) Please check any activities below that you are interested in:

Adult Education / JLI Courses Weekly Services
Bar/Bat Mitzvah Lessons Woman's Group
Shabbat Dinners Hebrew School
Holiday Events Summer Camp
Weekly Torah email Judaic Hands-on Workshops
Senior Citizen Programs Men's Club
Hebrew language Courses Volunteer Work


We don't charge a set amount per seat for our services or membership, but we do encourage you to consider making a donation in an amount that suits your needs, as we rely on the generous support of people like yourself to help cover our costs and fund our ever expanding year round programming. No one is turned away due to lack of funds and all are welcome.


Looking forward to seeing you soon!