Name of the person completing this form: *

First Name

Last Name

High Holiday Babysitting

Please note that plans for the 5783 High Holidays are not yet known and will be communicated later in the summer. Families with children: Please let us know if you would like the option of drop-off babysitting at select times during the service.

Yes, I would like the option of drop-off babysitting.

My membership category is: *

Standard

Student - full-time undergraduate or graduate

Young Professional - under age 30

Non-Resident - outside of Manhattan

Community - for members of other synagogues; Shaare Zedek is your secondary shul)

I will be paying my dues/donation in the following way: *

Please check all that apply

Check - please mail to our administrator at PO Box 720277, Jackson Heights, NY 11372

Online - after submitting this form, please go to the "donate" page on our website to make your payment

Stock transfer - someone will respond to you with transfer instructions

Photography Release Statement *

Shaare Zedek may have photographs or videos taken during community events that are not held on Shabbat or Yom Tov. These photographs will be used only for the shul’s promotional materials, which include online content (e.g., website, Facebook) and print content (e.g., ads, flyers, brochures). Please check the box below to indicate your preference for using pictures/videos of you or your family members in these materials.

I authorize Shaare Zedek to use photographs that include any member of my household.

I authorize Shaare Zedek to use photographs that include only the adults in my household, but not children.

I do not authorize Shaare Zedek to use photographs that include any member of my household.