Request edit access
Kol HaNeshamah Membership Form
We are excited that you will be joining Kol HaNeshmah!
Please fill out the form below so that we can learn more about you. For assistance, please email membership@khnj.org
Email address *
Head of Household 1 (Name, date of Birth, and email) *
Your answer
Head of Household 2 (Name, date of Birth, and email) *
Your answer
Child 1 (Name, Date of Birth, School, grade, email) *
Your answer
Child 2 (Name, Date of Birth, School, grade, email) *
Your answer
Child 3 (Name, Date of Birth, School, grade, email) *
Your answer
Child 4 (Name, Date of Birth, School, grade, email) *
Your answer
Contact Phone number(s) *
Your answer
Mailing address *
Your answer
Are all listed members born to a Jewish mother or converted to Judaism? *
Required
Have any listed members been adopted? *
Required
Have any listed members converted to Judaism? *
Required
Yahrzeit Record 1 - Name of deceased, relation, English date, Hebrew Date, Hebrew Name
Your answer
Yahrzeit Record 2 - Name of deceased, relation, English date, Hebrew Date, Hebrew Name
Your answer
Yahrzeit Record 3 - Name of deceased, relation, English date, Hebrew Date, Hebrew Name
Your answer
Yahrzeit Record 4 - Name of deceased, relation, English date, Hebrew Date, Hebrew Name
Your answer
Activities you are interest in
Previous Synagogue Affiliation
Your answer
Affiliation? *
We apply for membership in Kol HaNeshamah and agree to be bound by its by-laws, regulations and applicable yearly-billed dues. We agree to pay annual membership dues in advance and school tuition (if applicable). Membership continues in Kol HaNeshamah from year to year until I/we submit my/our written resignation/s or membership is otherwise terminated.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service