The Brit (Covenant) - Or Ami's Membership Form Part A

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The Brit (Covenant) - Or Ami's Membership Form Part A - General Information

If you prefer, you can print out and mail in a paper version of our membership form to 9400 Huguenot Road Richmond, VA 23235 along with a paper check or online payment.

https://drive.google.com/file/d/1v_pdsgRCMpWI8Zng3kDMHhZboqqibKY6/view?usp=sharing

In order to be eligible for Membership at Congregation Or Ami, you must meet any one of the following criteria. If you need any clarification, please contact Rabbi Ahuva Zaches (rabbiahuva@gmail.com). *

I am a member of the Jewish faith.

My immediate family includes a member of the Jewish faith.

I am formally committed to becoming a member of the Jewish faith (conversion).

Required

Adult (16 years or older) Applicant 1 Name *

Adult (16 years or older) Applicant 2 Name

Street Address *

City, State, and Zipcode *

Home Phone Number (Write "N/A" if not applicable.) *

Cell Phone Applicant 1 (Write "N/A" if you do not have a cell phone.) *

Cell Phone Applicant 2 (Write "N/A" if there is not a second cell phone in your household.) *

Email Address Applicant 1 *

Email Address Applicant 2 *

Check the appropriate box. *

You may include my name and contact information in the Or Ami Membership List.

I do NOT want my name and contact information included in the Or Ami Membership List.

Other:

Required

This year I would like to be involved in Congregation Or Ami by: *

Attending Shabbat and holiday services

Attending adult education classes and programs

Volunteering with a team/committee

Volunteering for a special project

Participating in social activities

Supporting my child/grandchild's education through the Religious School

Other:

Required

Do you have any suggestions for other activities you would like to lead or participate in at Or Ami?

If you are married, what is the date of your wedding anniversary?

YYYY

Please list the names and birthdates of each member of your household following this format: "Samuel Green (July 18, 1968); Hannah Green (October 5, 1970)" *

Please list the names, relationship to you, and yahrzeit (anniversary date of their death) of loved ones you wish to have remembered at Or Ami, using the following format: "David Green, father of Samuel Green (February 10, 1990); Rachel Silver, mother of Hannah Green (April 27, 2014)". If you prefer for the yahrzeit to be remembered on the Hebrew date, include only that date.

IMPORTANT - THERE IS A PART B. In order to complete your brit, you must click "submit" and then follow the instructions on the next page.

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