Family Information Form

Use this after paying membership, or whenever the office asks members to update family and community details.

Household details

Full Name *

Email Address *

Phone Number *

Family / Household Name

Home Address

Preferred Contact Method

Adults

Children

Future Bar / Bat Mitzvahs

Yahrzeits

Other details

Membership Payment Status

Newsletter / WhatsApp Notes

Volunteer Interests / Skills

Anything else the office should know

Thank you

For your donation

Please choose the receipt you would like us to send you

USA Receipt

Israeli receipt

Join our community

Join our Email group

Name

Join our whatsapp group

Name

Phone

Times of prayer

Every day

Shabbos

Insert/edit link

Enter the destination URL

URL

Link Text

Open link in a new tab

Or link to existing content

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Reserve a Future Kiddush

This is separate from sponsoring this week. Use this form for a future Shabbos when you would like the office to hold the date and remind you one month before the deposit is due.

Members: you may reserve now and request a deposit reminder one month before. Non-members: a deposit is required to reserve the date.

I am a Leibadik member I am not a member

Full Name Email Address Phone Number Requested Shabbos / Date Kiddush Type Occasion / Notes

A deposit is needed for non-members to reserve a future Shabbos. Please use the deposit payment button below.

Pay Kiddush Deposit