Membership Form - Form - Kehilas Shaarei Avodah

* Family Last Name

Mailing Address

Mailing Address (Line 2)

City

State

ZIP

Husband's Information:

Title

* First Name

Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

* Cohen, Levi, or Yisroel?

Birthday

* Email

Cell Phone

(Husband) I prefer to be contacted through:

EmailTextPhone

Marital Status

Wedding Date

Wife's Information:

* Title

First Name

Last Name

Maiden Name

Hebrew Name

Mother's Hebrew Name

Father's Hebrew Name

Cell Phone

Birthday

(Wife) I prefer to be contacted through:

EmailTextPhone

Children's Information:

How many children do you have?

Child 1

Gender

MaleFemale

Name

Hebrew Name

Birthday

Child 2

Gender

MaleFemale

Name

Hebrew Name

Birthday

Child 3

Gender

MaleFemale

Name

Hebrew Name

Birthday

Child 4

Gender

MaleFemale

Name

Hebrew Name

Birthday

Child 5

Gender

MaleFemale

Name

Hebrew Name

Birthday

Please list the names and birthdays of your additional children:

Membership Type

Full Membership - $500 AnnuallyAffiliate Membership - $300 AnnuallyAssociate Membership - $180 AnnuallyPlease choose which level of membership works for you.

Membership dues are prorated for the remainder of the fiscal year. You will receive an email once the cahrge has been added to your ShulCloud acount.
No one will be turned away due to financial need; one can reach out confidentially to the Rav or to Yosef Backer at membership@shaareiavodah.com to find an option which works for any family's budget.
Membership can be paid fully from ma’aser.

After submitting this form, the Rav will review it and then your ShulCloud account will be created and your selected membership charges will be added to your account. You should receive an email with a link to log in to your ShulCloud Account and create a password.