Membership 5785 - Form - Washington Square Minyan

Thank you for becoming a member of the Washington Square Minyan community. Through your participation, volunteerism, and financial support, the Minyan will continue to achieve its mission of creating a community around spirited traditional egalitarian Tefillah.

Please complete the information below to begin or renew your membership. If you are renewing, please be sure to login to your account before beginning so that your membership information is not duplicated. Please also be sure to sign-up for our weekly newsletter and google group here (completing your membership does not automatically add you to the listservs).

Information for Adult #1:

* First name

Middle Name (if used)

* Last name

Hebrew Name

* Email address

Mobile phone:

Birthday

Aliyah category (Adult 1)

Yisrael / Bat YisraelLevi / Bat LeviKohen / Bat Kohen

Bar/Bat Mitzvah Parasha (please select only if relevant)

Yahrzeit #1: Hebrew Date (please fill only if relevant)

Yahrzeit #2: Hebrew Date (please fill only if relevant)

Information for Adult #2 (if applicable):

First name

Middle name (if used)

Last name

Hebrew Name

Email address

Mobile phone

Birthday

Aliyah category (Adult 2)

Yisrael / Bat YisraelLevi / Bat LeviKohen / Bat Kohen

Bar/Bat Mitzvah Parasha (if applicable)

Yahrzeit #1: Hebrew Date (if applicable)

Yahrzeit #2: Hebrew Date (if applicable)

Household information

* Address - Line 1

Address - Line 2

* Address - City

* Address - State

* Address - ZIP code

Number of children living at home, if any

Once you have completed the profile for any adults in the family, you can verify and add information for any children when logged into the site at My Account > My Family.

Volunteering:

How can you help WSM? Please select the activities that you are able to volunteer for:

Toranut Volunteering:

We ask every minyan member to sign up for Toranut (set up/clean up of Kiddush) at least twice per year.
Please click on this sheet to sign up for a specific date and we will send you instructions closer to the date.

Membership Package Selection:

WSM will always welcome everyone! The donations listed below are suggestions, and financial means should never be a consideration in joining our community.

If the suggested donation is beyond what you can contribute, please give the amount that you are comfortable with, according to your means.

Bundled membership:
Includes the cost of all community lunches, one Kiddush sponsorship during the year (either dairy or meat), and a contribution to the newly created childcare fund, which helps support our investment in hiring childcare staff throughout the year (including Yamim Noraim childcare).

Type of Bundled Membership	Suggested Donation
2 adults + child(ren)	$2000
1 adult + child(ren) OR 2 adults	$1600
1 adult	$800

A la carte membership:
Community lunches will be billed separately (upon RSVP, at a cost of $10/person or max of $30/family).
You may choose to sponsor Kiddush during the year for an additional charge starting at $350 for dairy or $550 for meat.

We ask that those with children make an additional contribution to the childcare fund of $500 when registering for membership, which includes Yamim Noraim childcare costs.

Type of a la carte Membership	Suggested Donation
2 adults + child(ren)	$850
2 adults	$720
1 adult + child(ren)	$540
1 adult	$400

Please choose your desired membership:

Bundled Membership- 2 Adults & Child(ren) ($2000 suggested donation)Bundled Membership- 2 Adults OR 1 Adult & Child(ren) ($1600 suggested donation)Bundled Membership- 1 Adult ($800 suggested donation)A la carte Membership- 2 Adults & Child(ren) ($850 suggested donation)A la carte Membership- 2 Adults ($720 suggested donation)A la carte Membership- 1 Adult & Child(ren) ($540 suggested donation)A la carte Membership- 1 Adult ($400 suggested donation)

Would you like to contribute to the childcare fund ($500 suggest donation)?

YesNo

* Membership donation amount $ (including the childcare fund contribution):

If you prefer to to make your membership donation by check, please select "Bill to my account" on the next page, and issue a check to:

Washington Square Minyan
PO Box 392
Brookline, MA 02446