Congregation Beth Ahm
362 Palisado Ave.
Windsor, CT 06095
(860) 688-9989

CongregationBethAhm.org
RabbiAlan@CongregationBethAhm.org

See you on Shabbat.

Shalom and Welcome
Shalom and Welcome
What Makes Us Special
What Makes Us Special
Meet Rabbi Alan Lefkowitz
Meet Rabbi Alan Lefkowitz
Services & Events
Services & Events
Youth and Adult Education
Youth and Adult Education
Join Our Family
Join Our Family
Directions & Contact Info
Directions & Contact Info
Members Area (login required)


Membership Application

Congregation Beth Ahm ---- Membership Application

Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Hebrew Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Spouse's Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Hebrew Name _ _ _ _ _ ________________________________________

Address ___________________________________________________________________________________________________________________________________________________

Home Phone _______________________ Cell Phone ______________ E-Mail _____________________________________

Work Phone _________________________

Children's Name(s) Hebrew Name Ages(s) Religious Education to Date

_________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________________________

Yahrzeits

:

Name of Relative Date of Death _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Name of Relative Date of Death _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Name of Relative Date of Death _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Name of Relative Date of Death _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Name of Relative Date of Death _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Name of Relative Date of Death _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Why are you becoming a member?

(check all that apply):

___ Spiritual/Religious Connection ___ Weekly Services ___ Holiday Observances

___ Social Relationships ___ Religious School for Youth ___ Adult Education

___ Support for Our Interfaith Family ___ Support of Rabbi

How did you learn about our synagogue?

________________________________________________

Special skills and/or interests you bring.

(check all that apply):

___ Computer Skills/Light Typing ___ Goodwill Phone Calls to Ill Members

___ Fundraising ___ Membership Committee

___ Special Events, Planning and Helping ___ Phone Tree Callers

___ Clean Up after Events or Services ___ Singing

___ Cooking for Events ___ Accounting

___ Rituals/High Holy Days Planning ___ Legal

___ Teaching ___ Landscaping

___ Writing - Special Services, Newsletters ___ Mitzvah Brigade

Odd jobs

(check all that apply): ___ Painting, ___ Carpentry, ___ Electrical, ___ Plumbing (Licensed?)

Other ________________________________________________________________________________________

What else would you like to share with us about you and your membership?

_____________________________________

_____________________________________________________________________________________________________

I hereby agree to abide by the by-laws of Congregation Beth Ahm.

Signature(s) ___________________________________________________ Date _________________________




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