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Beth El The Heights Synagogue
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Name(s)
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Street Address
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Adult Information:
Adult 1: Full Name:
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Date of Birth
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Occupation/Retired
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Preferred Phone:
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Email Address:
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Adult 2: Full Name:
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Date of Birth
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Preferred Phone:
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Alternate Phone:
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Email Address:
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Children Information:
Child 1 Name:
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Grade and school
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Child 2 Name:
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Grade and school
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Yahrzeits
Name 1:
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Relationship
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Date (if using English date, please indicate if death was after sunset)
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Name 2:
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Name 3:
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Date (if using English date, please indicate if death was after sunset)
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Name 4:
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Committees:
Would you be interested in learning more about how you can help with one of our standing or special committees? Check all that interest you:
Ritual
Membership
Adult Education
Child & Teen Programming
Social Events
Social Action
Finance
Building
Chesed (support for members who are sick, caring for a loved one, death in the family, etc)
Communications/Publicity
Development
Check if you are interested in:
Helping to lead our worship services
Reading Torah or Haftorah at our services
Giving a D'Var Torah (short teaching on the weekly Torah portion during services)
Let us know if you have additional information that would be helpful for us to know or let us know if you have any questions or comments. Your feedback is appreciated.
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