New Member Form

Welcome!
Thank you for your interest in joining
Town & Village Synagogue!
Please complete this form so we may communicate with you, as necessary, throughout the year. All information is kept confidential.

Adult # 1

* First Name

* Last Name

* Preferred Pronouns

* Birthday

* Email Address

* Phone Number

Landline

Only if you have a landline

* Hebrew Name

If you aren't sure of your Hebrew name, or do not have one, please contact the office at office@tandv.org or 212-677-8090 for assistance.

* Mother's Hebrew Name

Father's Hebrew Name

Tribe

(If known. Ex: Cohen)

* Religious Background

Other:

Most Recent Congregational Affiliation

* Occupation/Former Occupation

Would you like to add another adult to the account?

Adult children should be added under children.

* Personal Status

Anniversary

Adult # 2

First Name

* Last Name

* Pronouns

* Birthday

Email Address

Phone Number

Occupation/Former Occupation

Hebrew Name

Mother's Hebrew Name

Father's Hebrew Name

Tribe

(If known)

* Religious Background

Other:

* Occupation/Former Occupation

Account Information

What brought you to T&V?

Would you like to be included in the Membership Directory?

YesNo

* Address

* City

* State

Zip Code

* Emergency Contact Name

* Emergency Contact Number

Relationship

Emergency Contact Name

Emergency Contact Number

Relationship

Membership Information

T&V is committed to economic diversity in our membership, as such, we never turn away a new member due to financial constraint. The following is our standard dues amounts. Should you need a reduction from these rates, please select the "Other/Special Dues" option below. A member of our finance committee will reach out to you to discuss.

Membership Level	Annual Payment	Monthly Payment (10 month plan)
Optional—Individual Sustaining (1 Adult & any children under 24)	$1,800	$180
Optional-Household Sustaining (2 Adults - at least 1 Jewish Adult - & any children under 24)	$3,600	$360
Individual (1 Adult & any children under 21)	$1,250	$125
Household (2 Adults - at least 1 Jewish Adult- & any children under 24)	$2,500	$250
Individual Senior (age 70+) (1 Adult)	$1100	$110
Household Senior (age 70+) (2 Adults - at least 1 Jewish Adult)	$2200	$220
Individual Young Adult (age <35) (1 Adult)	$360	$ 36
Household Young Adult (age <35) (2 Adults - at least 1 Jewish Adult - & any children under 24)	$720	$ 72
Full Time Student	$120	$12
Individual Legacy (1 under 30 Adult Child of members)	$120	$ 12
Out-of-Town Member	$250	$25

I/We would like to join as

A member of our finance committee will reach out to you at the phone number/email provided to discuss your needs.

Interests and Activities

We heartily welcome your active participation in T&V. To help us best meet your needs, let us know which of the areas below are of interest to you.

Torah (Learning)

Adult Education: Book GroupAdult Education: Jewish Studies ClassesAdult Education: Leading a Study Group/Teaching a ClassLearning/Practicing HebrewLearning to Read HaftorahLearning to Read Torah

Chesed (Helping Others)

Bikkur Cholim: Visiting the Sick and HomeboundCook-Feed-Connect: Helping to Provide Meals to Families with New BabiesSocial Action: Work on Special Projects to Meet Community Needs

Avodah (Prayer/Ritual)

Greeting People at ServicesHoliday Preparation: Spiritual and Practical PlanningLead Holiday/ Shabbat ServicesMinyan: Help to Make Morning Minyan for Those Saying KaddishSpiritual Life: Work with the Rabbi & Cantor to Enhance our Jewish JourneyReading Haftorah at ServicesReading Torah at Services

Kehilla (Committees)

Buildings & Facility ImprovementChoir: Singing in the ChoirCollege Youth: Engaging with Students Near T&VCollege Youth: Engaging with the College-aged Children of T&V MembersGo Green Environmental CommitteeIsrael ActionKiddush Crew: Helping to Make our Weekly KiddushMembership Committee: The Welcome WagonPurim Spiel - Sing/Act in our Annual Purim SpielThese are some of the many ways to get involved at T&V

Would you like to add any children to your account?

Please include any children up to age 24

Child 1

First Name

* Last Name

* Pronouns

* Birthday

Hebrew Name

Cell Phone

Child 2

First Name

* Last Name

* Pronouns

* Birthday

Hebrew Name

Cell Phone

Child 3

First Name

* Last Name

* Pronouns

* Birthday

Hebrew Name

Cell Phone

Child 4

First Name

* Last Name

* Pronouns

* Birthday

Hebrew Name

Cell Phone

Yahrzeits

If you or other family members would like to be reminded of the anniversary of the death of a loved one, please enter the the following yahrzeit information:

English Name of Deceased
Hebrew Name of Deceased
Relationship to the mourner on account
Date of Death
Time of Death: Before or After Sunset? (Y/N)

Yahrzeit Information

Welcome! Thank you for your interest in joining Town & Village Synagogue! Please complete this form so we may communicate with you, as necessary, throughout the year. All information is kept confidential.

Adult # 1

Adult # 2

Account Information

Membership Information

Interests and Activities

Child 1

Child 2

Child 3

Child 4

Yahrzeits

Welcome!
Thank you for your interest in joining
Town & Village Synagogue!
Please complete this form so we may communicate with you, as necessary, throughout the year. All information is kept confidential.