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Family Last Name *

First Name of Adult Member (1) *

First Name of Adult Member (2)

Street Address *

City *

Zip Code *

I am applying for a Gindi Maimonides Synagogue Membership for the upcoming year. *

(NOTE: According to the IRS Revenue Ruling 83-104, synagogue membership dues may be considered payment for an intangible religious benefit, and as such may be claimed as a tax deduction.)

Full Synagogue Membership $2,500 (For families with students in Pre-1 through 8th)

Affiliate Synagogue Membership $1,250 (For families with students in Gan Atid-Kindergarten ONLY)

I understand that I am responsible for the membership once this contract is signed. *

I would like to pay my Synagogue Membership in full via check by May 31, 2020

I would like my Synagogue Membership to be added to my 2020/2021 FACTS payment plan

Please type your full name as an acceptance of this contract: *

The ability to apply and be considered for admission to Gindi Maimonides Academy is a benefit of synagogue membership. Children of members are not automatically accepted into the school. A separate application must be completed to enable the school to determine compatibility between the Academy and Student.

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