Membership Application

Welcome to Congregation Brothers Of Israel. It is a pleasure to have you as part of our thriving community. Our warm congregation is welcoming and pride of our Jewish culture is felt throughout our community. We strive to offer unique programming that brings our community together.

Memberships offer you access to weekly classes, D'var Torahs, weekly bulletins, podcasts, scholar in residences, Kiddushim, Seuda Shlishit, security fee, daily & Yom Tov minyanim, access to events and activities over the course of the year, and much more. Please review the various tiers of membership that we offer to determine which tier and benefits make most sense for you.

"Full Family" membership includes (2) holiday seats. "Full Single" membership includes (1) holiday seat. These types of membership also include voting rights, discounts on additional seats & first choice of seats.

"Summer Family & Single" memberships do not includes voting rights or holiday seats, however it does offer discounts on seats.

* Adult 1 - First Name

Adult 1 - Middle Name

* Adult 1 - Last Name

Adult 1 - Maiden Name

if applicable

Adult 1 - Hebrew Name

* Adult 1 - Date of Birth

Adult 1 - Marital Status

* Adult 1 - Email Address

* Adult 1 - Mobile Phone

Adult 1 - Home Phone

* Adult 1 - Home Address

Adult 1 - Address 2

* Adult 1 - City

* Adult 1 - State

* Adult 1 - Zip Code

Adult 1 - Occupation/Profession

Adult 1 - Business/Employer Name

Adult 1 - Business Phone

Adult 1 - Photograph

Please attach a photo of Adult 1 above:

* Is there a second adult applying for membership?

* Adult 2 - First Name

* Adult 2 - Middle Name

* Adult 2 - Last Name

Adult 2 - Maiden Name

if applicable

* Adult 2 - Date of Birth

Adult 2 - Marital Status

Adult 2 - Hebrew Name

* Adult 2 - Email Address

* Adult 2 - Mobile Phone

Adult 2 - Home Phone

Adult 2 - Occupation/Profession

Adult 2 - Business/Employer Name

Adult 2 - Business Phone

Adult 2 - Photograph

Please attach a photo of Adult 2 here above

How many Yahrzeits would you like to observe?

English Name

Observed by:

Relationship:

Date of Death

Before/After Sunset

English Name

Observed by:

Relationship:

Date of Death

Before/After Sunset

English Name

Observed by:

Relationship:

Date of Death

Before/After Sunset

English Name

Observed by:

Relationship:

Date of Death

Before/After Sunset

List all children in your household that are included in your family membership. If you have more than four children, contact the office.

* How many children live in the family home?

* Child 1 - First Name

Child 1 - Middle Name

* Child 1 - Last Name

* Child 1 - Birth Date

* Child 1 - Name of Current School

* Child 1 - Current Grade

Child 1 - Address if not living with you

* Child 1 - Is this child being raised in the Jewish faith?

Child 1 - Bar/Bat Mitzvah: Date, Congregation, City

* Child 2 - First Name

Child 2 - Middle Name

* Child 2 - Last Name

* Child 2 - Birth Date

* Child 2 - Name of Current School

* Child 2 - Current Grade

Child 2 - Address if not living with you

* Child 2 - Is this child being raised in the Jewish faith?

Child 2 - Bar/Bat Mitzvah: Date, Congregation, City

* Child 3 - First Name

Child 3 - Middle Name

* Child 3 - Last Name

* Child 3 - Birth Date

* Child 3 - Name of Current School

* Child 3 - Current Grade

Child 3 - Address if not living with you

* Child 3 - Is this child being raised in the Jewish faith?

Child 3 - Bar/Bat Mitzvah: Date, Congregation, City

* Child 4 - First Name

Child 4 - Middle Name

* Child 4 - Last Name

* Child 4 - Birth Date

* Child 4 - Name of Current School

* Child 4 - Current Grade

Child 4 - Address if not living with you

* Child 4 - Is this child being raised in the Jewish faith?

Child 4 - Bar/Bat Mitzvah: Date, Congregation, City

By completing this form you understand the financial commitment of being a member in good standing.
Membership dues can be broken down into quarterly payments and must be paid in full by the years end.

If you wish to become a member but are unable to meet the financial commitment for membership, we encourage you to contact Michelle in the Shul office office@brothersisrael.org, Rabbi Braun, rabbi@brothersisrael.org or our president, Jeffrey Moskowitz jeff.moskowitz@brothersisrael.org to make special arrangements. Your request will remain strictly confidential.

* I will primarily daven at:

Please choose your Park Avenue Membership:

Please choose your Ocean Avenue Membership:

* I/We wish to pay our Membership via credit card online now. We acknowledge we are able to pay in full or split our payments at said time.

Total Membership Commitment

Sat, December 21 2024 20 Kislev 5785

CONTACT INFO

732.222.6666 ♦ office@brothersisrael.org

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