NEW MEMBER APPLICATION

We are glad you are here with us today, and hope you will choose to join our synagogue family. ATJC is a Conservative Jewish Synagogue Community committed to Jewish learning (Limmud לימוד), Jewish practice (Mitzvot מצוות), Jewish values (Middot מידות), the Jewish people (Am Yisrael עם ישראל), and the State of Israel (Medinat Yisrael מדינת ישראל). Membership opportunities are available for every household and season. We welcome your participation and look forward to your involvement!

Please tell us a bit about yourself and other family members in your home.

Adult 1

* First Name

* Last Name

* Date of Birth

* Home Phone

* Cell Phone

* Email

Marital Status

Anniversary

Hebrew Name

Tribe

Bar/Bat Mitzvah date

* Address

* City

* State

* Zip Code

Occupation

Business Name

Business Phone

^Interests
⇒ Check all that apply

Ya Ya SisterhoodYouth Education/ActivitiesYoung Professionals

Religious tradition in which you were raised?

Civic/Cultural Affiliations/Other Jewish organizations or affiliations?

May we call upon you to read Torah

May we call upon you to blow the Shofar?

Is there a second adult applying for Membership?

Adult 2

* First Name

* Last Name

* Date of Birth

* Home Phone

* Cell Phone

* Email

Hebrew Name

Tribe

* Bar/Bat Mitzvah Date

Occupation

Business Name

Business Phone

Interests

⇒Check all that apply

Ya Ya SisterhoodYouth Education/ActivitiesYoung Professionals

Religious tradition in which you were raised?

Civic/Cultural Affiliations/Other Jewish organizations or affiliations?

* May we call upon you to read Torah

* May we call upon you to blow the Shofar?

Does adult 2 live at the same address?

* Address

* City

* State

* Zip Code

Tell us about your children

Child 1

Child 1 - First Name

Child 1 - Middle Name

Child 1 - Last Name

Child 1 - Hebrew Name

Child 1 - Gender

Child 1 - Birth Date

Child 1 - Email

Child 1 - Cell Phone

Child 1 - Bar/Bat Mitzvah Date

Child 1 - Hebrew School Name

Child 1 - Secular School Name

Child 1 - Secular School Grade

Child 1 - Youth Group Name

Child 1 - College Name

Child 1 - College Address

Child 1 - Lives at Home

Child 2

Child 2 - First Name

Child 2 - Middle Name

Child 2 - Last Name

Child 2 - Hebrew Name

Child 2 - Gender

Child 2 - Birth Date

Child 2 - Email

Child 2 - Cell Phone

Child 2 - Bar/Bat Mitzvah Date

Child 2 -Hebrew School Name

Child 2 - Secular School Name

Child 2 - Secular School Grade

Child 2 - Youth Group Name

Child 2 - College Name

Child 2 - College Address

Child 2- Lives at Home

Child 3

Child 3 - First Name

Child 3 - Middle Name

Child 3 - Last Name

Child 3 - Hebrew Name

Child 3- Gender

Child 3 - Birth Date

Child 3 - Email

Child 3 - Cell Phone

Child 3 - Bar/Bat Mitzvah Date

Child 3 - Hebrew School

Child 3 - Secular School Name

Child 3 - Secular School Grade

Child 3 - Youth Group Name

Child 3 - College Name

Child 3 - College Address

Child 3 - Lives at Home

Child 4

Child 4 - First Name

Child 4 - Middle Name

Child 4 - Last Name

Child 4 - Hebrew Name

Child 4- Gender

Child 4 - Birth Date

Child 4 - Email

Child 4 - Cell Phone

Child 4 - Bar/Bat Mitzvah Date

Child 4 - Hebrew School

Child 4 - Secular School Name

Child 4 - Secular School Grade

Child 4 - Youth Group Name

Child 4 - College Name

Child 4 - College Address

Child 4 - Lives at Home

Yahrzeit Information

Yahrzeits - The date of death of your dear departed loved ones. If you would like to receive an annual reminder, please list the names of each individual, including the Month, Date and Year of death. Please include Hebrew date if known.

Additional Information

Are you currently a member of another congregation?

Name of other congregation?

Are you associated as a member and/or worker with any Jewish communal or civic organization?

Name of other organization?

Are you related to any other Aventura Turnberry Jewish Center members?

* I/We hereby agree to apply for membership and agree to abide by the Bylaws of the Aventura Turnberry Jewish Center. I/we agree to pay all application, annual dues and other fees.

I/We hereby agree to apply for membership and agree to abide by the Bylaws of the Aventura Turnberry Jewish Center. I/we agree to pay all application, annual dues and other fees.

Thank you for your continued support of ATJC. The safety of our congregants and children is our highest priority. Today’s times call for more vigilant and comprehensive security measures than ever. Therefore, it has become necessary to assess a $375 security fee in addition to each member’s annual commitment. Our policy is that no one is ever turned away for financial hardship. As always, financial arrangements can be made. Please contact Mark Flaxer, Executive Director for additional information.

Please choose a Membership Commitment level below:

* Security Fee

Please Select OneAnnual Security Fee - $375

Total Contribution

Membership Application

Adult 1

Adult 2

Interests