New Member Application

Membership Application

Welcome to Ahavath Achim Synagogue!
Ahavath Achim Synagogue is a historical, egalitarian congregation driven by Social Action, Jewish Continuity and Cultural Arts and Education. These focal points are the guiding forces in our community and serve as an invitation to all people who want to participate. In our 130th year, we are one of the oldest Synagogues in the Conservative movement.

In addition to offering a wide variety of spiritual experiences and worship opportunities within our congregation, we also have a dynamic Reggio Emilia Inspired preschool, Ahava Early Learning Center, that offers top-notch care and learning in a warm, welcoming and nurturing environment.

Friendly and inclusive, AA is a diverse community made up of caring and engaging clergy, dedicated and creative staff, enthusiastic lay leaders, and committed congregants - all extending a warm welcome to you.

Whether you’re one of our energetic young families just getting involved, an old-timer rooted in founding generations with stories to tell, or even someone who’s still searching for the place that fits, you can feel at home at AA.

Be an active part of our multi-generational community. Be spiritually uplifted, socially involved, and intellectually stimulated - come be family.

If you have questions, please contact Anne Cohen at acohen@aasynagogue.org or 404.603.5754.
How many adults are you registering? *
Adult 1
Title: *
Full name: *

First Name Last Name
Alternate name or nickname?
Hebrew name (if applicable):
Full Hebrew name: ben/bat followed by father's full Hebrew name (ben is 'son of' and bat is 'daughter of').
Email: *
example@example.com
Cell phone: *
Home phone:
Work phone:

Date of birth: *

- Month - Day Year
Gender: *
Marital status: *
Date of marriage (if applicable):

- Month - Day Year
Occupation: *
Current religion: *
If you are Jewish by choice, please indicate your conversion date:

- Month - Day Year
Bar/Bat Mitzvah date:

- Month - Day Year
Please indicate if you belong to one of these groups:

Kohen Levite Israelite
Do you have any relatives that are members? If yes, please name them, and tell us your relation to them:
Adult 2
Title: *
Full name: *

First Name Last Name
Alternate name or nickname?
Hebrew name (if applicable):
Full Hebrew name: ben/bat followed by father's full Hebrew name (ben is 'son of' and bat is 'daughter of').
Email: *
example@example.com
Cell phone: *
Home phone:
Work phone:

Date of birth: *

- Month - Day Year
Gender: *
Marital status: *
Date of marriage (if applicable):

- Month - Day Year
Occupation: *
Current religion: *
If you are Jewish by choice, please indicate your conversion date:

- Month - Day Year
Bar/Bat Mitzvah date:

- Month - Day Year
Please indicate if you belong to one of these groups:

Kohen Levite Israelite
Do you have any relatives that are members? If yes, please name them, and tell us your relation to them:

How many children are you registering? *
Child 1
Full name: *

First Name Last Name
Hebrew name:
Full Hebrew name: ben/bat followed by father's full Hebrew name (ben is 'son of' and bat is 'daughter of').
Date of birth: *

- Month - Day Year
Bar/Bat Mitzvah date :

- Month - Day Year
Gender: *
School grade: *
School attending: *
Email (if applicable):
example@example.com
Cell phone (if applicable):

- Area Code Phone Number
Child 2
Full name: *

First Name Last Name
Hebrew name:
Full Hebrew name: ben/bat followed by father's full Hebrew name (ben is 'son of' and bat is 'daughter of').
Date of birth: *

- Month - Day Year
Bar/Bat Mitzvah date :

- Month - Day Year
Gender: *
School grade: *
School attending: *
Email (if applicable):
example@example.com
Cell phone (if applicable):

- Area Code Phone Number
Child 3
Full name: *

First Name Last Name
Hebrew name:
Full Hebrew name: ben/bat followed by father's full Hebrew name (ben is 'son of' and bat is 'daughter of').
Date of birth: *

- Month - Day Year
Bar/Bat Mitzvah date :

- Month - Day Year
Gender: *
School grade: *
School attending: *
Email (if applicable):
example@example.com
Cell phone (if applicable):

- Area Code Phone Number
Child 4
Full name: *

First Name Last Name
Hebrew name:
Full Hebrew name: ben/bat followed by father's full Hebrew name (ben is 'son of' and bat is 'daughter of').
Date of birth: *

- Month - Day Year
Bar/Bat Mitzvah date :

- Month - Day Year
Gender: *
School grade: *
School attending: *
Email (if applicable):
example@example.com
Cell phone (if applicable):

- Area Code Phone Number
Child 5
Full name: *

First Name Last Name
Hebrew name:
Full Hebrew name: ben/bat followed by father's full Hebrew name (ben is 'son of' and bat is 'daughter of').
Date of birth: *

- Month - Day Year
Bar/Bat Mitzvah date :

- Month - Day Year
Gender: *
School grade: *
School attending: *
Email (if applicable):
example@example.com
Cell phone (if applicable):

- Area Code Phone Number

Do you have any yahrzeits you wish to observe and for which to receive notifications?
Yahrzeit Notifications
Jewish custom calls for observing the anniversary of the death of parents, children, spouses, and siblings according to the Jewish calendar. Please complete the information below, so that we may remind you of yarhrzeit dates. The full date of death is required in order to schedule yahrzeits.
Full name (English): *

First Name Last Name
Hebrew name:
Relationship to adult #1 or #2: *
Date of death (secular): *

- Month - Day Year
Date of death (Hebrew): *
Time of death: *

: Hour Minutes

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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Membership Application

Adult 1

Adult 2

Child 1

Child 2

Child 3

Child 4

Child 5

Yahrzeit Notifications

Additional Questions

Membership Levels