Membership Application - Greenburgh Hebrew Center

Registration for GHC's Religious School and for our Early Childhood Center, Fall 2025, is open now! See Below.

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Home > Resources > Membership Application

Membership Application

Membership Application

Thank you for applying for Membership. Please complete the form below to the best of your ability. Feel free to call the office if you have any questions.

Greenburgh Hebrew Center
515 Broadway
Dobbs Ferry, NY 10522
914-693-4260 / fax: 914-693-4907
www.ghcny.org

Welcome to Greenburgh Hebrew Center! Our mission is to be a vibrant egalitarian Conservative Jewish community, embracing our traditions while actively participating in our changing world. Our values are to be a family, embracing our tradition, religion and spirituality, educating our children, ourselves and our community, engaging with our changing world and providing for our future. We look forward to you joining us and getting to know you! Please complete this membership form as best you can . If you have any questions, feel free to contact us.

MEMBER INFORMATION

MEMBER 1 (Primary person on account)

Title
* Last Name
* First Name
* Date of Birth
* Hebrew Name (hit 'shift' for English)
* Father's Hebrew Name (hit 'shift' for English)
* Mother's Hebrew Name (hit 'shift' for English)
Bar/Bat Mitzvah Date
* Marital Status
SingleCoupled (married/domestic partner)DivorcedWidowed
Wedding Date
* I am (please select)
Please Select OneBorn to a Jewish MotherJewish by Choice (please attach Conversion DocumentsNot Jewish
Is your family related to a current GHC Member? If so, please advise who:
Occupation/Title
Business Name

MEMBER 1 - INTERESTS (check all that apply)

Interests
GHC School - Early Childhood EducationGHC School - Religious SchoolGHC School - Hebrew High SchoolChildren's Religious ServicesPTA'sPJ LibraryTeen Activities (USY/Kadima)Family Social/Holiday ProgramsEducation (ECC/RS) CommitteeCampus - College Connection
Interests
Ritual & Prayer - Lead ServiceChant Torah or HaftorahSocial Action OpportunitesCaring CommunityEmpty NestersAdult Education/Cultural AffairsMen's ClubSisterhoodIsrael Affairs
Interests
Building ManagementFinance CommitteeFundraising CommitteeGreen Team CommitteeKiddush CommitteeMarketing CommitteeMembership CommitteeReligious Affairs CommitteeSecurity CommitteeTechnology Committee

MEMBER 2

Title
Last Name
First Name
Birthday
Hebrew First Name
Father's Hebrew Name
Mother's Hebrew Name
I am (choose one)
Born to a Jewish MotherJewish by Choice (please attach Conversion DocumentsNot Jewish
Occupation/Title
Business Name

MEMBER 2 - INTERESTS (click all that apply)

Interests
GHC School - Early Childhood EducationGHC School - Religious SchoolGHC School - Hebrew High SchoolChildren's Religious ServicesPTAsPJ LibraryTeen Activities (USY/Kadima)Family Social/Holiday ProgramsEducation (ECC/RS) CommitteeCampus - College Connection
Interests
Ritual & Prayer - Lead ServiceChant Torah or HaftorahSocial Action OpportunitiesCaring CommunityEmpty NestersAdult Education/Cultural AffairsMen's ClubSisterhoodIsrael Affairs
Interests
Building ManagementFinance CommitteeFundraising CommitteeGreen Team CommitteeKiddush CommitteeMarketing CommitteeMembership CommitteeReligious Affairs CommitteeSecurity CommitteeTechnology Committee

CONTACT INFORMATION

* Home Street Address (add apt # if applicable)
* City
* State
* Zip
* Home Phone Number
* Cell Number- Member 1
Cell Number - Member 2
* Email Address - Member 1
Email Address - Member 2

CHILDREN

Child = Full English Name
Hebrew Name ('shift' for English)
Date of Birth
Child = Full English Name
Hebrew Name
Date of Birth
Child = Full English Name
Hebrew Name
Date of Birth
Child = Full English Name
Hebrew Name
Date of Birth
Child = Full English Name
Hebrew Name
Date of Birth

Yahrzeit Information

If you have loved ones for whom you say Kaddish, please list below

Yahrzeit = Full English Name
Hebrew Name
Date of Death
Relationship / specify to which member
Yahrzeit = Full English Name
Hebrew Name
Date of Death
Relationship / specify to which member
Yahrzeit = Full English Name
Hebrew Name
Date of Death
Relationship / specify to which member
Yahrzeit = Full English Name
Hebrew Name
Date of Death
Relationship / specify to which member
Yahrzeit = Full English Name
Hebrew Name
Date of Death
Relationship / specify to which member
* Payment Method
I will be mailing in or dropping off a checkI will be paying by credit card(if paying by credit card, please click HERE and you will be directed to our payment area.
Please advise how you heard of GHC:
If you were referred to GHC by a current member, please advise who that member is:

THANK YOU for completing this application. We look forward to meeting you!!
Please hit SUBMIT button on the bottom.

For Office Use Only

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Rabbi
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Office
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Mon, July 14 2025
18 Tammuz 5785

Zmanim

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Zman Tefillah 10:32am

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Mincha Gedola 1:38pm

Mincha Ketana 5:21pm

Plag HaMincha 6:54pm

Shkiah (Sunset) 8:27pm

Tzeit Hakochavim 9:16pm

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Mon, July 14 2025 18 Tammuz 5785

Greenburgh Hebrew Center
515 Broadway
Dobbs Ferry, NY 10522
(914) 693-4260

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Alot Hashachar	3:50am
Earliest Tallit	4:34am
Netz (Sunrise)	5:35am
Latest Shema	9:18am
Zman Tefillah	10:32am
Chatzot (Midday)	1:01pm
Mincha Gedola	1:38pm
Mincha Ketana	5:21pm
Plag HaMincha	6:54pm
Shkiah (Sunset)	8:27pm
Tzeit Hakochavim	9:16pm
More >>