Membership Option

Membership Option
Although we welcome and serve our entire Hewlett community, regardless of membership, we invite you to consider registering as a "member"!

Fill out our membership form to connect with our community and start enjoying the benefits of being part of our beautiful family!

This optional registration allows you to:

- Deepen your connection with our community

- Show your support for our mission and programs

- Receive updates and insights into our initiatives
Be part of the most beautiful "family" in town!

Of course, our programs and services remain open to everyone, regardless of membership status but registration allows you to take your involvement to the next level

If you are already a monthly donor THANK YOU!

If there are any changes or additions to your family please let us know.
You can download the form by clicking here.
If you filled out the form in the past and nothing has changed please let us know.
FIRST ADULT HEAD OF HOUSEHOLD
Have you filled out this form before?* Click Yes ONLY if your info has not changed.

YesNo
Full Name*
Prefix First Name Last Name
Hebrew Name
First Name ben/bat Father's Hebrew name
Birth Date*

Month Day Year
E-mail*
I am...*

Jewish From BirthConvertedNot Jewish
Family

CohenLeviYisroel
Cell Number*

Area Code Phone Number
Work Number

Area Code Phone Number
Home Number

Area Code Phone Number
SECOND ADULT HEAD OF HOUSEHOLD
Full Name
Prefix First Name Last Name
Hebrew Name
First Name ben/bat Father's Hebrew name
Birth Date

Month Day Year
E-mail
I am...

Jewish From BirthConvertedNot Jewish
Family

CohenLeviYisroel
Cell Number

Area Code Phone Number
Work Number

Area Code Phone Number
Home Number

Area Code Phone Number
PERSONAL INFORMATION

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Marital Status*
Wedding Date*

Month Day Year
CHILDREN
Do you have new children to add?*

YesNo
How many children?*
First Child's Full Name*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
Second Child's Full Name*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
Third Child's Full Name*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
Fourth Child's Full Name*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
Fifth Child's Name*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
Sixth Child's Name*
First Name Last Name
Hebrew Name
Birth Date*

Month Day Year
YAHRZEITS
Are there new Yahrzeits you'd like to add?*

YesNo
How many Yahrzeits?*
Full Name*
First Name Last Name
Hebrew Name
First Name ben/bat Father's/Mother's Hebrew Name
Date of Death*

Month Day Year
at Hour Minutes
Time of Death was during the...

DayNightI don't know
Observer * To whom is the Deceased related?
Deceased's relationship to Observer*
Full Name*
First Name Last Name
Hebrew Name
First Name ben/bat Father's/Mother's Hebrew Name
Date of Death*

Month Day Year
at Hour Minutes
Time of Death was during the...

DayNightI don't know
Observer* To whom is the Deceased related?
Deceased's relationship to Observer*
Full Name*
First Name Last Name
Hebrew Name
First Name ben/bat Father's/Mother's Hebrew Name
Date of Death*

Month Day Year
at Hour Minutes
Time of Death was during the...

DayNightI don't know
Observer* To whom is the Deceased related?
Deceased's relationship to Observer*
Full Name*
First Name Last Name
Hebrew Name
First Name ben/bat Father's/Mother's Hebrew Name
Date of Death*

Month Day Year
at Hour Minutes
Time of Death was during the...

DayNightI don't know
Observer* To whom is the Deceased related?
Deceased's relationship to Observer*
Comments
Please tell us anything else you'd like us to know
Optional Donation
No fees, just friendship!

We don't charge for membership. Instead, we rely on donations to keep our community thriving.

If you choose to make a monthly donation of any amount (suggested: $125 monthly) we'll proudly recognize your commitment on our monthly donor board.
Membership Donation Options

$36$54$75$108$120$180$360$540$1800$2500$3600$5400$10000$36000$54000
Yes, I'd like to make this a monthly recurring payment.

Payment

Credit Card Paypal ACH, Check, Check or Zelle

Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%
I would like to receive news and updates by email
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Programs

Membership Option

FIRST ADULT HEAD OF HOUSEHOLD

SECOND ADULT HEAD OF HOUSEHOLD

PERSONAL INFORMATION

CHILDREN

YAHRZEITS

Comments

Optional Donation

Jewish Kids Club of Hewlett

Kiddush Sponsorship

Mezuzah Check-Up

Synagogue Services

Tefillin Club

Young Heroes Memorial Board