Application Form

(e.g. Yaacov ben Moshe)

(e.g. Sarah bat Miriam, Moshe ben Ilana)

(e.g. Congregation Sherith Israel, Nashville, TN)
Please note that our bylaws require new members to have no outstanding obligations to other synagogues.

Annual dues are: $1,800 for full members, $750 for associate members, $500 for Grandparents Circle and $300 for youth student members. Please note: an annual security fee of $120 is required for all membership categories.

For each child, please provide the following: English Name, Hebrew Name, Date of Birth (Common calendar), gender/sex.

(e.g. Goldberg37205)

(e.g. Goldberg37205)