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Join Us! Membership Form
Please verify reCaptcha before submitting the form.
We are delighted that you are interested in joining Congregation Keneseth Israel. We are a Reform synagogue, founded in 1903, and are affiliated with the Union of Reform Judaism, the national congregational organization of Reform Judaism.
To further your involvement in the life of the congregation, we ask that you complete this application and information form. The information you share with us remains confidential. In addition to helping us serve one another more effectively, this information facilitates achieving an accurate profile of our membership and enables us to plan our future and your part in it.
Find out more about KI by visiting our
photos
, a
calendar
of events, more about our clergy, information about the Board of Trustees, the Brotherhood and Sisterhood, and our youth group. If you have any questions, please feel free to call (610) 435-9074
Welcome to Congregation Keneseth Israel! We all look forward to getting to know you!
*
Date
For Office Use Only Member #
We/I hereby apply for membership in Congregation Keneseth Israel, a congregation dedicated to the principles of Reform Judaism
Mailing Name and Address
*
First Name
Middle Name
*
Last Name
*
Email
Address
*
City
Zip Code
Cell Phone
Home Phone Number
Marital Status
Married
Single
Separated
Widowed
Divorced
Date of Marriage (If Applicable)
Member
*
Title
Dr.
Mr.
Mrs.
Ms.
Miss
Preferred Name (nickname)
Hebrew Name (If Applicable)
*
Date of Birth
Occupation
Business Name
Business Telephone
Religious Background
Reform
Conservative
Orthodox
Other (explain)
Date of Bar/Bat Mitzvah
Previous Congregational Affiliation
Committee Interests
Member Name
Temple Board
Social Action
Publicity
Outreach
Cemetery
Continuing Education
Women of KI
Membership
Personnel
Ad Book
Development/Endowment
Religious School
Finance/Budget
Youth Activities
Singles
Religious Practicies
Music
Brotherhood
Fundraising
Shabbat B'Yachad (Family Shabbat)
Soup Kitchen
Mitzvah Corps
Brit Olam (Social Justice)
Skills, talents and hobbies
Emergency Contact Name
Emergency Contact Number
How did you learn about KI?
Co-Member
*
First Name
*
Last Name
*
Title
Dr.
Mr.
Mrs.
Ms.
Miss
Preferred Name (nickname)
Hebrew First Name (If Applicable)
Date of Birth
Cell Phone
Occupation
Business Name
Business Telephone
Email
Religious Background
Reform
Conservative
Orthodox
Other (explain)
Date of Bar/Bat Mitzvah
Previous Congregational Affiliation
Children 18 & Under
Name
Gender/Sex
Hebrew Name
Date of Birth
Date of Bar/Bat Mitzvah
Confr.
Religious School Grade
Public School/Grade
Name
Gender/Sex
Hebrew Name
Date of Birth
Date of Bar/Bat Mitzvah
Confr.
Religious School Grade
Public School/Grade
Name
Gender/Sex
Hebrew Name
Date of Birth
Date of Bar/Bat Mitzvah
Confr.
Religious School Grade
Public School/Grade
More Than Three Children? Please Fill in the Appropriate Information Below for Each Additional Child:
Committee Interests
Member Name
Committee Interests
Temple Board
Social Action
Publicity
Outreach
Cemetery
Continuing Education
Women of KI
Membership
Personnel
Ad Book
Development/Endowment
Religious School
Finance/Budget
Youth Activities
Singles
Religious Practicies
Music
Brotherhood
Fundraising
Shabbat B'Yachad (Family Shabbat)
Soup Kitchen
Mitzvah Corps
Brit Olam (Social Justice)
Skills, talents and hobbies
Members of Family to Be Included on Yahrzeit List
(Unless otherwise noted, English Dates will be observed)
Name
Relationship
of
English Date of Death
Name
Relationship
of
English Date of Death
Name
Relationship
of
English Date of Death
I further state that I have no outstanding dues and/or other considerations owing to any other synagogue.
Signed Member
Date
Co-Member
Date
Accepted by
Date
FINANCIAL RESPONSIBILITIES OF MEMBERS DUES
Each member of Keneseth Israel has a responsibility to financially support the synagogue to the best of his or her ability. However, no one is denied membership because of an inability to pay full dues. Dues programs are available to meet everyone's needs and abilities.
Please see the following page for a complete listing of Dues by Category, as well as various Fees as they may pertain to you.
We realize there may be circumstances that make it impossible to meet the full dues requirement. In this case, ask the Temple Administrator for a reduce dues form and return it with your membership application. The Financial Secretary will review your application and work with you to arrive at a satisfactory dues level.
Please consider contributing your annual dues at a level above the regular amount, as many of our members do.
The Congregation is very appreciative of your financial support.
CAPITAL IMPROVEMENT FUND
Each new member of Keneseth Israel is required to make a pledge to the Capital Improvement Fund in the amount of $1,800. This pledge is payable over six years. The Capital Improvement Fund exists to maintain and improve our synagogue and classroom buildings. Any amounts that you have previously paid to fulfill this pledge at another Reform Congregation will be deducted from your required pledge at KI.
RELIGIOUS SCHOOL
Enrollment in our Religious School is limited to children of members of the Congregation. Tuition is established annually by the Board of Trustees, No child of a member in good standing will be denied a religious education.
Religious School fees are in addition to annual dues. During the summer months, Religious School tuition charges will be included on your monthly statement; in addition to these fees, In order to register your child for school, at least one-quarter of your annual dues must be paid, unless other arrangements are made in advance.
There are additional charges for Bar/Bat Mitzvah and Confirmation to cover the costs of tutoring, music, custodial, etc. This will be explained more fully when you participate in these simchas.
LIFE-CYCLE CEREMONIES
The Rabbi and Cantor officiate without charge at life-cycle ceremonies for members and their immediate families.
Sat, December 21 2024
20 Kislev 5785
Sat, December 21 2024 20 Kislev 5785