Thank you for your interest in joining North Shore Congregation Israel. Please fill out this form if you are interested in becoming a new member or are a returning member.

Benefits of Membership

Members have the opportunity to:

Meet with our clergy for pastoral care
Attend High Holy Days services
Enroll your children in our Goodman Center for Jewish Education, including our B’nei Mitzvah program
Access to all Adult Education courses
Receive our members-only publications such as our Bulletin and our weekly e-newsletter
Hold life-cycle events such as weddings and funerals in our Sanctuary
Rent our spaces for other purposes such as brises, meetings, and parties
Travel with us on trips to Israel and other Jewish communities around the world

Contact Information-Member 1

Title

* First Name

* Last Name

Salutation Preference (e.g. "Ms. Cindy Cohen or "Mr. & Mrs. Jim Smith" or "Dr. and Mrs. Steve Levy" or "Mr. Bob Goldberg and Ms. Jill Katz" or "Ms. Susan Isner and Ms. Jane Weiss")

Status

* Date of Birth (MM/DD/YY)

Place of Birth (City, State, Country)

Religious Upbringing

Current Religious Status

Address/Phone/Email

* Address Line

* City

* State/Province

* Zip/Postal Code

Alternate Address

Home Phone Number

* Mobile

* Email

Education/Employment/Business Contact

Education

Occupation or Profession

Name of Company

Title

Work Address

City

State

Zip Code

Business Phone

Contact Information-Member 2

Title

First Name

Last Name

Status

Date of Birth (MM/DD/YY)

Place of Birth (City, State, Country)

Mobile

Religious Upbringing

Current Religious Status

Education/Employment/Business Contact

Education

Occupation or Profession

Name of Company

Title

Work Address

City

State

Zip Code

Business Phone

Please list below any relatives or friends who are members at NSCI.

Does anyone in your household have any special needs of which we should be aware of? Please indicate below.

Contact Information-Child 1

First Name

Last Name

Nickname

Date of Birth (MM/DD/YY)

Gender

Address (if different from yours)

City

State

Zip Code

Mobile Number

School Attending

Religious School

Grade in Religious School

Hebrew School

Grade in Hebrew School

Bar/Bat Mitzvah

Bar/Bat Mitzvah Date

Confirmation

Confirmation Date

Contact Information-Child 2

First Name

Last Name

Nickname

Date of Birth (MM/DD/YY)

Gender

Address (if different from yours)

City

State

Zip Code

Mobile Number

School Attending

Religious School

Grade in Religious School

Hebrew School

Grade in Hebrew School

Bar/Bat Mitzvah

Bar/Bat Mitzvah Date

Confirmation

Confirmation Date

Contact Information-Child 3

First Name

Last Name

Nickname

Date of Birth (MM/DD/YY)

Gender

Address (if different from yours)

City

State

Zip Code

Mobile Number

School Attending

Religious School

Grade in Religious School

Hebrew School

Grade in Hebrew School

Bar/Bat Mitzvah

Bar/Bat Mitzvah Date

Confirmation

Confirmation Date

Contact Information-Child 4

First Name

Last Name

Nickname

Date of Birth (MM/DD/YY)

Gender

Address (if different from yours)

City

State

Zip Code

Mobile Number

School Attending

Religious School

Grade in Religious School

Hebrew School

Grade in Hebrew School

Bar/Bat Mitzvah

Bar/Bat Mitzvah Date

Confirmation

Confirmation Date

YAHRZEIT OBSERVANCE

If you have loved ones whose name you would like to be placed on our Kaddish list, regardless of their religious identity, please list their names below. Please let us know if you would like assistance in determining the Hebrew date.

A Yahrzeit reminder will be sent approximately 3-4 weeks prior to the observance date.

Name of Deceased

Remembered by Member 1 or 2

Relationship to Member

English Date of Death (month, day and year)

Hebrew Date of Death

Do you observe the English or Hebrew date?

Name of Deceased

Remembered by Member 1 or 2

Relationship to Member

English Date of Death (month, day and year)

Hebrew Date of Death

Do you observe the English or Hebrew date?

Name of Deceased

Remembered by Member 1 or 2

Relationship to Member

English Date of Death (month, day and year)

Hebrew Date of Death

Do you observe the English or Hebrew date?

Are you interested in information about cemetery?

Opportunities for Involvement and Enrichment

NSCI takes pride in the active involvement of our congregational family and in the personal relationships we make with each other. We invite you to "engage" in one or more of the many opportunities we offer below.

How did you hear about us?

Did you move to the greater North Shore Area in the last year?

* WAIVER FOR PHOTO RELEASE:

WAIVER FOR PHOTO RELEASE:I give my consent for any photos/videos taken of me or members of my family involved in NSCI programs to be used for NSCI promotions or display.

Membership

Membership at nsci

Benefits of Membership

Questions? Contact us

Todd braman