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5782 Kol Nidre
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Membership
Information on Membership
If you would like to learn more about membership at Woodbury Jewish Center, please contact us:
info@woodburyjc.org
(516) 496-9100
PRESCHOOL FAMILIES:
CLICK HERE FOR MORE INFORMATION
Become a part of the WJC family!
Membership Application
(non-preschool families)
*
Membership Type
Please Select
Junior Family - (For family with children under 3rd grade)
Family - (For family with at least one child enrolled in our Religious School grades 3-7)
L'Dor V'Dor - (Couples without children in our Religious School)
Senior Couple (65+)
Senior Single (65+)
Non-Resident (couple)
Single
Honorary Trial Membership
Primary #1
*
First Name
*
Last Name
Hebrew Name
*
Date of Birth
Address
*
City
*
State
--Select State--
Alabama
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Vermont
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Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Home Phone #
*
Cell Phone #
*
Email Address
*
Are you Jewish?
Mother's Hebrew Name
Father's Hebrew Name
Tribe (if not known type N/A)
*
Occupation
Business Phone #
*
Can you read Hebrew?
Primary #2
*
First Name
*
Last Name
Hebrew Name
*
Date of Birth
Address
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip
*
Home Phone #
*
Cell Phone #
*
Email Address
*
Are you Jewish?
Mother's Hebrew Name
Father's Hebrew Name
*
Tribe (if not known type N/A)
*
Occupation
Business Phone #
Can you read Hebrew?
Number of Children
Please Select
I do not have children
ONE
TWO
THREE
FOUR
*If child was adopted and birth mother was not Jewish, or if either spouse converted to Judaism, please provide conversion documents.
Child #1 Information
First Name
Gender
N/A or Unknown
Male
Female
*
Date of Birth
Child's Hebrew Name
*
Name of School
*
Grade
Child # 2 Information
First Name
Gender
N/A or Unknown
Male
Female
*
Date of Birth
Child's Hebrew Name
Name of School
Grade
Child # 3 Information
First Name
Gender
N/A or Unknown
Male
Female
*
Date of Birth
Child's Hebrew Name
Name of School
Grade
Child # 4 Information
First Name
Gender
N/A or Unknown
Male
Female
*
Date of Birth
Child's Hebrew Name
Name of School
Grade
Please answer a few questions below, we would love to get to know you!
-
Thank you for joining! What made you decide to join our WJC family?
If you have any relatives that are currently members of the WJC, please list names and relationships:
How did you hear about WJC?
What are you looking for in being a member of the WJC family?
Is there anything you would like us to know about you/your family?
*
Payment Options
Please Select One
Pay in full
Split monthly (must be paid in full by June 30th)
You will not be charged at this time.
This is for account setup only.
Please note that once your account is set up, you will receive an email to set up a password and you will be able to view your account, pay your balance, and add Yahrzeits to your account.
Wed, May 25 2022 24 Iyyar 5782