Signup Form

- Adult 2
- Primary Name
  
  First NameLast Name
- Email
  example@example.com
- Cell Number
  
  Area CodePhone Number
- Work Number
  
  Area CodePhone Number
- Website
- Are you Jewish? (see note)*
- * The Conservative Movement defines "Jewish" as one who is either born to a Jewish mother or who has undergone a halachic conversion to Judaism. At least one family member must be Jewish and only the Jewish adult has voting privileges at our all-congregation meetings. If you have any questions about this, please contact Rabbi Carie Carter at rabbicarie@psjc.org.
- Hebrew Name
- Father's Hebrew Name
- Mother's Hebrew Name
- Bar/Bat Mitzvah Parasha
- If you were a former member, please let us know what year/s.
- Occupation
- Title (if any)
- Business Name
- Business Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Wedding Anniversary Date

- College students find autonomy and independence with their own membership. They receive all materials and communication separate of their parent(s), fostering a sense of ownership and community.
  
  We have special suggested membership dues for college students:
  
  One-parent household: $180
  
  Two parent household: $360
- YesNot at this time
- YesNot at this time
- Name
  
  First NameLast Name
- Email
  example@example.com
- Phone Number
  
  Area CodePhone Number
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- College address, if different
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Hebrew Name
- Bar/Bat Mitzvah Parasha

- Yahrzeit 1
- Name of Deceased
  
  First NameLast Name
- Hebrew Name
- Related to Whom?
- Relationship
- Date of Death*
  
  MonthDayYear
  Date
- YesNoI don't know
- *The time of death (before or after sundown) is needed to determine the date of death on the Jewish Calendar.
- Yahrzeit 2
- Name of Deceased
  
  First NameLast Name
- Hebrew Name
- Related to Whom?
- Relationship
- Date of Death
  
  MonthDayYear
  Date
- YesNoI don't know
- Need to add more names? All members have access to a personal membership account through our online portal, and it's quick and easy to add more yahrzeits.

Membership Form Addendum

Approved by the PSCJ Board of Trustees on October 20, 2015
PSJC Membership

We wish to encourage people to join our community and experience all that we have to offer. We strive to be open and inclusive as guided by our mission statement:

To sustain a Jewish community dedicated to cherishing and renewing our tradition through religious growth, prayer, good works, and a commitment to take care of one another.

The PSJC By-Laws list the following membership requirements:

1. There must be (at least) one Jewish family member in any membership unit; only adult members who are Jewish are able to vote or serve on the Board.

2. All members are required to sign the Egalitarian statement on the membership form.

Additional Membership Requirements:

Our policy is that children can only become a bar/bat mitzvah at PSJC with the appropriate learning, as determined by the Rabbi. In common with the Conservative movement, we expect each child to have attended religious school (in our Hebrew School or in a program acceptable to the Rabbi) for 5 years. Ordinarily, we expect the family to have maintained membership in our congregation for a minimum of 2 years.

Members may not purchase a burial plot or grave unless they have been members in good standing of the congregation for at least two years.

If you wish to request an exception to these policies, please speak with the Rabbi.

*We understand the requirements and policies for membership. Should we need to ask for an exception to be made for us, allowing us to purchase a grave or have a bar/bat mitzvah, we will commit to at least two years of membership; we intend to have PSJC in our future, and we look forward to a relationship with the congregation in the years to come.
Initial Here

This application, together with the annual membership dues, constitutes my/our application for membership. I/we understand that one of the stated objectives of Park Slope Jewish Center's By-Laws is the affirmation, promotion, and furtherance of full and equal participation of men and women in all aspects of Jewish ritual life, known as the Conservate/Egalitarian form of worship.
Primary Applicant Signature
Signature date

MonthDayYear
Date
Secondary Applicant Signature (if any)
Signature date

MonthDayYear
Date
Should be Empty:

PARK SLOPE JEWISH CENTER

Work Information

Adult 2

Child 1

Yahrzeit 1

Yahrzeit 2

Membership Form Addendum

Participation in our Community

Member 1