Welcome to Young Israel of Sharon - Form

Adult 1 Information

Adult 1: Title

* Adult 1: First Name

* Adult 1: Last Name

* Adult 1: Cell Phone #

* Adult 1: Email Address

Adult 1: Occupation

* Adult 1: Date of Birth

* Gender

* Adult 1: Hebrew Name

You can type it in Hebrew or English-transliteration

* Adult 1: Father's Hebrew Name

You can type it in Hebrew or English-transliteration

* Adult 1: Mother's Hebrew Name

You can type it in Hebrew or English-transliteration

* Is there a second adult in your household?

Please Select OneYesNo

Adult 2 Information

Adult 2: Title

* Adult 2: First Name

* Adult 2: Last Name

* Adult 2: Cell Phone #

* Adult 2: Email Address

Adult 2: Occupation

* Adult 2: Date of Birth

Gender

* Adult 2: Hebrew Name

You can type it in Hebrew or English-transliteration

* Adult 2: Father's Hebrew Name

You can type it in Hebrew or English-transliteration

* Adult 2: Mother's Hebrew Name

You can type it in Hebrew or English-transliteration

Anniversary Date

* Year that You Moved to Sharon

Or when you plan on moving to Sharon!

* Street Address

Apt/Suite

* Town/City

* State

* Zip Code

House Phone Number

What was your previous shul?

Please include name of shul, city and state.

Participation in the Young Israel Community

Young Israel Mission Statement
Young Israel of Sharon is a vibrant shul with a warm, friendly, and relaxed atmosphere. We aspire towards the ideals of Modern Orthodoxy: serious Torah study and practice, with an embrace of diversity; and a participatory openness to the best of contemporary culture.

Please let us know if you would be interested in being involved in any of the following areas:

Please let us know of any special needs or accommodations we can be sensitive to:

Child(ren) Information

If you have children, please select the number of children you have and fill in their information below.

How many children do you have?

* Child's First Name

* Child's Last Name

* Child's Date of Birth

* Child's Gender

Please list any schools your child has attended or is attending:

For children that are 21 years old and younger

Does this child live with you?

Please Select OneYesNo

Annual Membership Fees

Type of Membership	Fee
First Year	$930
Couple or Family	$1,700
Individual/Single Parent Family	$1,050
Snowbird	$1,100
Associate Member*	$800
Friend	$360

Building Fund Assessment: $2,500 ($500/year for five years, billed at the end of year one of membership)

Please note: No one will be turned away because of financial limitations.

* Must be a member in another congregation.