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100 Nassau Ave, Atlantic Beach, NY 11509

Membership Application


THE JEWISH CENTER OF ATLANTIC BEACH
MEMBERSHIP APPLICATION

   ADULT 1                                 
   





   
MEMBER INTERESTS
We encourage our membership to play an active role in Synagogue life. Please choose the areas you have an interests in.

   

   

   ADULT 2                                 
   




   
MEMBER INTERESTS
We encourage our membership to play an active role in Synagogue life. Please choose the areas you have an interests in.

   

   


   CHILDREN  LIVING AT HOME       
 

   CHILD 1                             
Approx. time of birth is needed to calculate your child's correct Bar/Bat Mitzvah Date.

   CHILD 2                             
Approx. time of birth is needed to calculate your child's correct Bar/Bat Mitzvah Date.

   CHILD 3                             
Approx. time of birth is needed to calculate your child's correct Bar/Bat Mitzvah Date.

   CHILD 4                             
Approx. time of birth is needed to calculate your child's correct Bar/Bat Mitzvah Date.

   CHILDREN  LIVING ON THEIR OWN      
 

   CHILD 1                             

   CHILD 2                             

   CHILD 3                             

   CHILD 4                             

   YAHRZEIT INFORMATION            
 
   

English/Hebrew (English Spelling)

English/Hebrew (English Spelling)

English/Hebrew (English Spelling)

English/Hebrew (English Spelling)

   COMMITMENT INFORMATION      
 
  
Young Family Membership - Both partners under the age of 35
Young Single - Under 35


Full Members agree to contribute a minimum of $1500 to the Building Fund over a maximum period of five years. This pledge will not be in effect until the second year of membership.



I/we hereby apply for membership in the Jewish Center of Atlantic Beach. If elected to membership I/we will conform to and obey the constitution, by-laws and other rules and regulations of the congregation now in force or hereafter to be adopted. As a member, I/we shall be entitled to all the rights and privileges set forth in the by-laws of the Congregation.



Fri, May 20 2022 19 Iyyar 5782