The Forest Hills Jewish Center 106-06 Queens Boulevard, Forest Hills, ny 11375 Membership Application
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- College Address________________________ City ________________________ State_____ Zip______
- College Address________________________ City ________________________ State_____ Zip_______
- College Address_______________________ City_______________________ State_____ Zip__________
- YAHRZEIT INFORMATION
| The Forest Hills Jewish Center
106-06 Queens Boulevard, Forest Hills, NY 11375 Membership Application I/We apply for membership in Forest Hills Jewish Center and agree to abide by its By-Laws PLEASE PRINT IN INK AND FILL IN THIS FORM FOR OUR DATABASE __________________________________ ________________________________ Male Member Female Member _____________________________________ ___________________________________ Hebrew Name Hebrew Name _____________________________________ ___________________________________ Address Address _____________________________________ ___________________________________ City Zip City Zip _____________________________________ ___________________________________ Home Phone Bus. Phone Home Phone Bus. Phone _____________________________________ ___________________________________ E-mail Address Bus. Fax E-mail Address Bus. Fax _____________________________________ ___________________________________ D.O.B. Blood Type D.O.B. Blood Type _____________________________________ ___________________________________ Occupation Occupation _____________________________________ ___________________________________ Company Company _____________________________________ ___________________________________ Address Address ___________________________________ For couples: Anniversary Date _______ _______ _______ _______ _______ _______ Kohen Levi Yisroel Kohen Levi Yisroel Previous Association with FHJC? Yes____ No____ Dates: ____________________ Related to other members? Yes____ No____ If yes, name and Relationship_____________________________ Member Household: (Check all that apply) ___ number of children ___ has only adult children (ages over 21) ___ has children who will be participating in our religious school ___ has children who will be participating in our youth group ___ has children who will become Bar/Bat Mitzvah in the next ___ year(s) ___ has children who will be married in the next ___ month (s) ___ is a single parent family ___ is widowed, divorced ___ is single
and Religious School are open to Jewish children only. A Jewish child is one who is born of a Jewish Mother or who has undergone a conversion in accordance with the standards of the Conservative movement. If you have questions regarding the religious status of your child due to adoption or conversion, we request that you discuss it with Rabbi Skolnik. Non- Jewish parents are always welcome in our synagogue and in our schools, but may not participate in the Synagogue rituals except on the day of the bar/bat mitzvah of his/her child at which time a non-Jewish parent may choose to read the Prayer for our Country, or the Prayer for America’s Military Personnel. Signature (s) of Member (s) ________________________________ Date___________________________ Membership Chair/Executive Director_________________________ Date___________________________ Children: (Please print name in full) __ I/We request registration information on Religious School. (Kindergarten to High School)
__ Tseerim (Grades 4 & 5) __ Kadima (Grades 6, 7 & 8)
Name Sex Date of Birth Bar/Bat Mitzvah Date ____________________________________________________________________________________ School/College Grade/Year E-mail Address 
College Address________________________ City ________________________ State_____ Zip______ _______________________________________ ______________________________________ Name Sex Date of Birth Bar/Bat Mitzvah Date ______________________________________________________________________________________ School/College Grade/Year E-mail Address
_______________________________________ ______________________________________ Name Sex Date of Birth Bar/Bat Mitzvah Date ______________________________________________________________________________________ School/College Grade/Year E-mail Address
Name Sex Date of Birth Bar/Bat Mitzvah Date ______________________________________________________________________________________ School/College Grade/Year E-mail Address YAHRZEIT INFORMATION Please list any name and dates for which you would like to receive information English Name: ___________________________________________________ Hebrew Name: ___________________________________________________ English Date of Death: ________________ Hebrew Date of Death: _________ Before Sundown: _____________________ After Sundown: _______________ Relationship to Deceased: ___________________________________________ English Name: ___________________________________________________ Hebrew Name: ___________________________________________________ English Date of Death: ________________ Hebrew Date of Death: _________ Before Sundown: _____________________ After Sundown: _______________ Relationship to Deceased: ___________________________________________ English Name: ____________________________________________________ Hebrew Name: ____________________________________________________ English Date of Death: ________________ Hebrew Date of Death: __________ Before Sundown: _____________________ After Sundown: ________________ Relationship to Deceased: ____________________________________________ CEMETERY PRIVILEGES An additional fee of $15.00 per year entitles a member to an individual gravesite in the Center Cemetery section at New Montefiore Cemetery, Pine Lawn, Long Island for the internment of a member’s immediate family member. Additional adjacent plots may be reserved at the time of the first internment, at a cost of $1000 each. Directory: wp-content -> uploads -> 2014 2014 -> Raíces y Sueños: the Artistry of Cuba Call for Art – Exhibit Application 2014 -> Session 1 occ 202 Wednesday • 10: 15-11: 45 am 2014 -> African-american vernacular english: selected references 2014 -> Woman suffrage in ridgefield 2014 -> Why did the usa fail in Vietnam? 2014 -> Worksheet #5 Who’s to Blame? In this section, Causes of the Cold War, we have covered why it started the underlying factors after the Second World War, ideological differences, Soviet expansion after the war 2014 -> Colonial America Created By: Jodi Stocker, Jenna Doney, Casey Knaust, Jen Schmidt, Ryan Molitor Unit Goals 2014 -> How to Find Library Resources Tech and Society Download 24.81 Kb. Share with your friends:
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