Congregation Knesses Yisroel

Membership Application Form

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Personal Information

Name*:

Hebrew Name*:

Address*:
State*:
ZIP*:

Home Phone*:
Email*:

Membership Type*:

Full membership benefits include Yomim Noraim seats for household members.

Members of Household


Add Member
Name Relationship Current School Grade (where applicable)
pre-school, elementary, high school, post high school

Shul Functions

Please identify shul functions in which you or your household members would like to be contributing participants along with the usual manner of participation.



ו ה ד ג ב א ך כ י ט ח ז ס ן נ ם מ ל ק ץ צ ף פ ע ר ש ת
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10977 (New Hempstead)

10952 (Monsey)