MEMBERSHIP FORM

We are a Reform congregation open to all Jewish people, their partners, and families, regardless of denomination, background, gender, sexuality, race, disability status, ethnicity, and socioeconomic class.
Please fill out and submit the form below. If you prefer, you can download, print, and return the form in person or via mail here.

Once we receive this form we will contact you directly to plan your welcome!

Member 1: Name*
First Last
Member 1: Email*
Member 1: Cell Phone*
Member 1: Business Phone
Optional
Member 1: Hebrew Name (optional)
Please include your Hebrew name IF POSSIBLE. We understand if you were raised Jewish but never received a Hebrew name, are not Jewish but are contemplating converting, if you are the non-Jewish partner/spouse of a Jewish person, do not remember it, or do not remember the Hebrew or English spellings.
Member 2: Name
First Last
Member 2: Email
Member 2: Cell Phone
Member 2: Business Phone
Optional
Member 2: Hebrew Name (optional)
Please include your Hebrew name IF POSSIBLE. We understand if you were raised Jewish but never received a Hebrew name, are not Jewish but are contemplating converting, if you are the non-Jewish partner/spouse of a Jewish person, do not remember it, or do not remember the Hebrew or English spellings.
Shared Demographics
Home Phone
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mailing Address
If different than home address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Children's Names and Ages
If applicable
If you have children, Do you plan on enrolling them in religious school?
What or who, brought you to Congregation Emanuel of the Hudson Valley?
Tell us a little about yourself. Do you have any special hobbies, interests, passions, curiosities, and/or special skills?
Are there specific aspects of the CEHV community you would like to be involved in?
Membership Dues
Payment Preferences:
- Online
- Check
- Payment Plan
Name
This field is for validation purposes and should be left unchanged.

MEMBERSHIP FORM

MEMBERSHIP FORM

Shared Demographics