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2024 Membership Form
Please verify reCaptcha before submitting the form.
We're so happy that you're joining the Greenpoint Shul. By joining and contributing to our community, you help us create vibrant Jewish life in North Brooklyn. Please complete the application below to get started.
Please note that this form is only for new membership applications
. Current members have been sent personalized emails with instructions on how to renew. Please reach out to us at info@greenpointshul.org if you cannot find your renewal email.
MEMBER FAMILY INFORMATION
PRIMARY MEMBER INFORMATION
*
First Name
Middle Name
*
Last Name
Hebrew First Name
Mother's Hebrew Name
Father's Hebrew Name
*
Email Address
*
Phone Number
*
Birthday
*
Do you have an additional adult to add in your household?
Please Select One
Yes
No
SECONDARY MEMBER INFORMATION
*
Partner or Spouse's First Name
Partner or Spouse's Middle Name
*
Partner or Spouse's Last Name
Partner or Spouse's Hebrew First Name
Partner or Spouse's Mother's Hebrew Name
Partner or Spouse's Father's Hebrew Name
*
Partner or Spouse's Email
Partner or Spouse's Phone Number
*
Partner or Spouse's Birthday
ADDRESS INFORMATION
*
Address Line 1
Address Line 2
*
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
CHILDREN INFORMATION
*
Do you have children under 18 in your household?
Please choose one
Yes
No
*
How many children would you like to add?
Please choose one
One Child
Two Children
Three Children
Four Children
CHILD 1 - INFORMATION
*
First Name
*
Last Name
*
Date of Birth
Hebrew Name
*
What school does your child attend?
*
What is your child's grade as of September 2024?
Please Select One
Younger than pre-K
Pre-K
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
CHILD 2 - INFORMATION
*
First Name
*
Last Name
*
Date of Birth
Hebrew Name
*
What school does your child attend?
*
What is your child's grade as of September 2024?
Please Select One
Younger than pre-K
Pre-K
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
CHILD 3 - INFORMATION
*
First Name
*
Last Name
*
Date of Birth
Hebrew Name
*
What school does your child attend?
*
What is your child's grade as of September 2024?
Please Select One
Younger than pre-K
Pre-K
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
CHILD 4 - INFORMATION
*
First Name
*
Last Name
*
Date of Birth
Hebrew Name
*
What school does your child attend?
*
What is your child's grade as of September 2024?
Please Select One
Younger than pre-K
Pre-K
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
MEMBERSHIP INFORMATION
Thank you for being a Greenpoint Shul member!
*
Which level of membership is right for you?
Please Select One
L'dor va'Dor | $2,100
Family | $1,000
Senior L'dor va'Dor | $1,000
Senior Family | $500
Our "L'dor va'Dor Membership" more closely reflects the Shul's true annual expenses per membership unit. We encourage those with financial means to choose the L'dor va'Dor membership level.
Membership dues can be divided into monthly installments, in numbers equal to the number of months left in the calendar year. This selection can be made on the next page.
Financial considerations are never a barrier to membership at the Greenpoint Shul. Please reach out to us at info@greenpointshul.org; it our honor to ensure that Membership is possible for all who seek to be a part of our community.
*
Which level of membership is right for you?
Please Select One
Please Select One
L'dor va'Dor | $2,100
Family | $1,000
Individual | $500
Student | $200
Senior L'dor va'Dor | $1,000
Senior Individual | $250
Our "L'dor va'Dor Membership" more closely reflects the Shul's true annual expenses per membership unit. We encourage those with financial means to choose the L'dor va'Dor membership level.
Membership dues can be divided into monthly installments, in numbers equal to the number of months left in the calendar year. This selection can be made on the next page.
Financial considerations are never a barrier to membership at the Greenpoint Shul. Please reach out to us at info@greenpointshul.org; it our honor to ensure that Membership is possible for all who seek to be a part of our community.
INTERESTS INFORMATION
We're so glad to have you join us! Please tell us a little bit about why you are joining the Greenpoint Shul.
Please let us know one or two ways that you can see yourself contributing your time, energy, or leadership to foster our shared community.
Thu, December 26 2024 25 Kislev 5785