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KIYP Membership
Welcome to
KI
and our
KIYP community
! We are happy you decided to join us. If you would like more information before joining, please
email
the office, and we will be happy to answer all of your questions. If you are a former member, you can call the office at 617-277-9177 or
email
us to update your existing account.
Please complete as much of the form below as applies to you.
Membership/Belonging
contributions are pledge based. We only ask that you donate an amount that is comfortable for your current situation. Donations can be made monthly, bi-monthly, quarterly or as a one time annual payment. Our fiscal year begins on July 1st, and membership information is sent out in June including suggested annual donations. Please keep that in mind when making your contribution.
An example of a student or recent graduate contribution might be an annual commitment of $180 divided into ten monthly payments of $18. If you have questions, need assistance setting up payments or are unable to contribute at this time please
email
Lara.
Join our
WhatsApp
group
here
to stay up to date. If you're interested in being part of our newly formed
Leadership Committee
you can
email
Ariel
. All of our upcoming offerings can be found on our
LinkTree
. Sign up for any of our emails
here
. If you are parent and would like information about the KI Preschool please
email
Valerie or Katie, and for information about the religious school you can
email
Lisa.
Your Information
*
First Name
Middle Name
*
Last Name
Birthday
Hebrew Name
Father's Hebrew Name
Mother's Hebrew Name
*
Email
*
Preferred Phone Number
Street Address
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zipcode
Relationship Status
Single
Married
Divorced
Widowed
Partnered
Other
In what religious tradition were you raised?
Orthodox
Conservative
Reform
Reconstructionist
Unafiliated
Not Jewish
Other
Are you a:
Kohen
Levi
Yisrael
Unknown
Are you an interfaith family? (KI welcomes interfaith families, and we are happy to have you join us. We also have resources for those looking to convert and/or learn more.)
No
Yes
Tell us more about your Jewish Journey:
Bar/Bat Mitzvah Date
Bar/Bat Mitzvah Location
Wedding Date
Conversion Date
Second Person (if applicable)
First Name
Middle Name
Last Name
Birthday
Hebrew Name
Father's Hebrew Name
Mother's Hebrew Name
Email
Preferred Phone Number
Relationship Status
Single
Married
Divorced
Widowed
Partnered
Other
In what religious tradition were you raised?
Orthodox
Conservative
Reform
Reconstructionist
Unafiliated
Not Jewish
Other
Are you a:
Kohen
Levi
Yisrael
Unknown
Do you have any children?
No
Yes
Number of Children?
1
2
3
4
5
Child 1
First Name
Last Name
Middle Name
Gender
Birthday
Hebrew Name
Grade
School
Allergies?
Child 2
First Name
Last Name
Middle Name
Gender
Birthday
Hebrew Name
Grade
School
Allergies?
Child 3
First Name
Last Name
Middle Name
Gender
Birthday
Hebrew Name
Grade
School
Allergies?
Yahrzeit Information:
Jewish custom calls for observing the anniversary of the death of family members according to the Jewish calendar. If applicable, please enter Yahrzeit information here so we can remind you of Yahrzeit dates.
Please enter the Yahrzeit information below. Please provide the Jewish and/or English day, month and year including whether it was daytime or evening. In addition please provide (if you know them) the deceased’s Hebrew name and parents' Hebrew names.
Other Information
Are there any other dates you would like to make us aware of? Anniversaries? Bar/Bat Mitzvah dates? Other milestones?
Is there any additional information you would like us to know about your family? (i.e. illness, special needs, skills/talents to share)
What do you want to gain from being a member of the KIYP community?
Are you interested in volunteer (shomrim, chesed, holidays) opportunities?
Please let us know if you have any skills such as reading Torah, reading Haftarah, leading services, etc, and you’re interested in participating during services. Or if you are interested in learning opportunities, please let us know.
Why did you select KI?
Do any of your family members have accessibility needs or accommodation requests that we should be aware of?
Contribution
Enter Membership/Belonging Donation Amount
Total Contribution
*
I/We agree that KI may use photographs in electronic or print form in which my/our family may appear for publicity purposes.
Please Select One
Yes
No
Is there anything else you'd like to share?
Mon, February 10 2025
12 Shevat 5785
Mon, February 10 2025 12 Shevat 5785
