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Shanah Tovah from everyone at GHC! ~~For more information about Holiday Services & Events, see below~~ ECC and Religious School registration info & Membership application, 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

--Select State--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

* 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

______________________
Rabbi

_____________________
Notes

______________________
Office

____________________
Board

 

Tue, October 8 2024
6 Tishrei 5785

Today's Calendar

Evening Minyan : 7:15pm

Executive Committee Meeting : 8:00pm

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Upcoming Programs & Events

Oct 8     Executive Committee Meeting Tuesday, Oct 8 8:00pm

Oct 9     Hebrew High School Wednesday, Oct 9 6:15pm

Oct 9     Sisterhood Board Meeting Wednesday, Oct 9 8:00pm

Oct 10     Common Ground: Has Politics Replaced Religion in America? Thursday, Oct 10 10:00am

Oct 10     Second Pillar Committee Meeting Thursday, Oct 10 8:00pm

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Candle Lighting

Friday, Oct 11, 6:02pm

Havdalah

Motzei Shabbat, Oct 12, 7:08pm

Kol Nidre

Friday, Oct 11

View Calendar

Zmanim

Alot Hashachar	5:39am
Earliest Tallit	6:10am
Netz (Sunrise)	7:00am
Latest Shema	9:51am
Zman Tefillah	10:48am
Chatzot (Midday)	12:42pm
Mincha Gedola	1:11pm
Mincha Ketana	4:02pm
Plag HaMincha	5:13pm
Shkiah (Sunset)	6:25pm
Tzeit Hakochavim	7:06pm
More >>

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Tue, October 8 2024 6 Tishrei 5785