New Membership

Creating a growing and dynamic community is a partnership and collective effort. Your membership and support over the past years is greatly valued and appreciated. Our partnership is even more critical as we move forward in these challenging yet exciting times. There are many benefits to being a member, including discounts and special gifts throughout the year, but the greatest benefit is the feeling of being a partner in a unique and warm community, with 2 convenient locations for services, that will serve as a spiritual home for you and your children to experience authentic Judaism in the most enjoyable and rewarding way.

Please fill out this membership form and please consider an increase in your membership level for the coming year, as your circumstances allow. Thank you so much for your support and partnership.

For members renewing membership for 2023/4 - 5784 click here.
Your Information
Full Name*

First Name Last Name
Hebrew Name
Father's Hebrew Name
Mother's Hebrew Name
Gender*

MaleFemale
Birth Date

Month Day Year
Approx. time of birth
Occupation
Home

Area Code Phone Number
Work

Area Code Phone Number
Cell

Area Code Phone Number
Email*

Address*

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

Birth Mother

Jewish by BirthConverted
Did you convert?

NoYes
For male members

KohenLeviteIsraelite
Marital Status*

MarriedSeparatedDivorcedWidowed
Date of Marriage*

Month Day Year
Spouse Information
Full Name*

First Name Last Name
Hebrew Name
Father's Hebrew Name
Mother's Hebrew Name
Gender*

MaleFemale
Birth Date

Month Day Year
Approx. time of birth
Occupation
Home

Area Code Phone Number
Work

Area Code Phone Number
Cell

Area Code Phone Number
Email*
Birth Mother

Jewish by BirthConverted
Converted?

NoYes
For male members

KohenLeviteIsraelite
Children's Information
No. of Children
Name of Child #1
Hebrew Name
Birth Date

Month Day Year
School
Name of Child #2
Hebrew Name
Birth Date

Month Day Year
School
Name of Child #3
Hebrew Name
Birth Date

Month Day Year
School
Name of Child #4
Hebrew Name
Birth Date

Month Day Year
School
Yahrtzeit Information
No. of Yahrtzeits
Hebrew Name #1*
Father's Hebrew Name*
English Name*

First Name Last Name
Relation*
Date of Passing* and approx. time

Month Day Year
at Hour Minutes
Hebrew Name #2*
Father's Hebrew Name*
English Name*

First Name Last Name
Relation*
Date of Passing* and approx. time

Month Day Year
at Hour Minutes
Hebrew Name #3*
Father's Hebrew Name*
English Name*

First Name Last Name
Relation*
Date of Passing* and approx. time

Month Day Year
at Hour Minutes
Hebrew Name #4*
Father's Hebrew Name*
English Name*

First Name Last Name
Relation*
Date of Passing* and approx. time

Month Day Year
at Hour Minutes
I am interested in participating in the following areas

Synagogue ServicesHoliday CelebrationsGan Israel Summer Day CampJunior CongregationYouth ZoneSeniors ClubAdult Education ClassesTeen ProgrammingMen's ClubWomen's ProgramsPreschool of the ArtsMikvah for LadiesSunday Hebrew SchoolFriendship Circle ProgramVolunteering
Membership Options
Membership is from Rosh Hashanah 5784/2023 to Rosh Hashanah 5785/2024

High Holiday seats (and other member discounts) included with all membership options.

VIP Membership and above includes one sponsored deluxe kiddush lunch during the year and preferred seating at all events.
Select Option*

$1,800 - Family Membership$900 - Single Membership$3,600 - Premium Membership$5,400 - VIP Membership$10,000 - Pillar of the Community$18,000 - Founder of the Community
Payment Schedule*

Full Payment NowBi-Annual (Sept.1, Mar 1)Quarterly (Sept. 1, Dec. 1, March 1, June 1)Monthly (Sept. 1 - Aug. 1)
High Holiday Seating & Services
With membership you receive reserved seating for the High Holidays for your family and reservations for your children in the designated youth programs and services. Please select what you plan on attending:
Select Your Location for Services and Seats Rosh Hashanah Sept. 15-17, Yom Kippur Sept. 24-25

Chabad of Parkland Center for Jewish Life - 7170 Loxahatchee Rd (With Rabbis Yosef & Shuey Biston) - Also at this location Children's Services and Friendship Circle Service.Chabad of West Parkland - Marriott Hotel Heron Bay - RH & YK (With Rabbi Mendy Gutnick) - Also at this location Children's Services and Family Services.
Names for reserved seating
Names and ages for children attending designated Children's Services (Ages 2 - 12) Reservation Required
Attending Other Services

Family Service Rosh Hashanah - Marriott Hotel (Heron Bay) - Saturday September 16th - 1:00pm - 2:00pmFamily Service Yom Kippur - Marriott Hotel (Heron Bay) - Wednesday October 5th 1:30pm - 2:30pmTeen Service Rosh Hashanah - Chabad of Parkland - Monday September 26th - 11:00am - 12:30pm Teen Service Yom Kippur - Chabad of Parkland - Wednesday October 5th - 11:00am - 12:30pmFriendship Circle Service - Chabad of Parkland - Monday September 26th - 3:00pm - 4:00pm
Total

$0.00

I would like to pay today:Full amount$0.00 minimum$

Payment

Credit Card Check or Payment Schedule

Postal / Zip Code

Country

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Your Information

Spouse Information

Children's Information

Yahrtzeit Information

Membership Options

High Holiday Seating & Services