2024-2025 New Member Application

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Donate

* How did you become interested in Sukkat Shalom?

* Family Name

Please confirm the information in this form as you go through it. Overwrite any changes and they will be automatically updated in your account. Thank you!

Address

Address 2

City

State

Zip code

* Primary Phone Number

* Cell Phone Number, Applicant

Cell Phone Number, Partner

I/we give permission to print HOME e-mail addresses in Congregation Directory

* Adult 1 First Name

* Adult 1 Last Name

* Adult 1 Email

Adult 1 Date of Birth

Occupation

Business Name

Business Phone Number

Business Email

I/we give permission to print BUSINESS e-mail address in Congregation Directory

Secondary Contact First Name

Secondary Contact Last Name

Secondary Contact Email

Secondary Contact Date of Birth

Occupation

Business Name

Business Phone Number

Business Email

I/we give permission to print BUSINESS e-mail address in Congregation Directory

Child 1 First Name

Child 1 Last Name

Child 1 Birthdate

Child 2 First Name

Child 2 Last Name

Child 2 Birthdate

Child 3 First Name

Child 3 Last Name

Child 3 Birthdate

Child 4 First Name

Child 4 Last Name

Child 4 Birthdate

* Annual Membership Pledge

If "Other amount" was selected, please note annual pledge amount

Family School Education Fund

$180$360Other amount

Please consider making an additional contribution to our Family School Education Fund. This is not tuition, but a program that offers scholarships for students in need to attend Sukkat Shalom education programs.

If "Other" was selected, please note contribution amount here

Thank you for filling out this form! Please be on the lookout for a welcome message from the Sukkat Shalom staff shortly.

Questions? 847-251-2675; snelson@sukkatshalom.org

Sat, April 27 2024 19 Nisan 5784

2024-2025 New Member Application

Thank you for filling out this form! Please be on the lookout for a welcome message from the Sukkat Shalom staff shortly. Questions? 847-251-2675; snelson@sukkatshalom.org

Thank you for filling out this form! Please be on the lookout for a welcome message from the Sukkat Shalom staff shortly.

Questions? 847-251-2675; snelson@sukkatshalom.org