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New Membership
Welcome to Kol HaLev!
We Invite You to Become a Member!
We hope you will join us for Shabbat, classes, and other events where we support each other’s spiritual, social, and learning development through an active community!
To start, please fill out this form and press the Submit button when complete. An account will be created for you, and our administrator will send you: a) login credentials, b) an explanation of Kol HaLev’s self-assessed dues system, and c) a link to the dues payment page. Our Membership Liaison will also reach out to you, to welcome you to our community.
Type of Membership
Please select one
Individual
Family
*
Household Name
This is the family name that will display in our directory, and identify your account in our database.
*
Primary Address
Your house number and street name for your primary residence.
Address Line 2
*
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Your First Name
Your primary phone #
Secondary phone #
Email address for your account
*
Your Birthday
*
Occupation
Hebrew Name
About Your Partner
Partner's First Name
Partner's Last Name--If different from yours
Main phone #
Secondary phone #
Email address
Date of Birth
Partner's Occupation
Hebrew Name
About Your Children
How many children are in your family?
0
1
2
3
4
5
Child's Name
Birthday
The data you have filled out on this form is creating an account for you in our database, and contact information is included in a password protected community directory. You have control over the information shared in the directory.
Your information will never be shared outside of our community. Please let us know if your contact information can be available to KHL membership.
Yes
No
Thank you, and welcome to Kol HaLev!
Please press the Submit button to complete your application.
Mon, January 27 2025
27 Tevet 5785
Mon, January 27 2025 27 Tevet 5785