Membership Form - Form - Congregation Dor Hadash

Welcome! Thank you for showing interest in joining Dor Hadash! We look forward to having you become a part of our community!
Before you begin this form, have you completed the New Member Inquiry form? If so, please continue with this form! If not, please complete the New Member Inquiry form and we will get back to you as soon as possible!

Any questions or concerns? Email membership@dorhadash.net

Adult 1

Last Name

First Name

Nickname

if applicable

Pronouns

e.g. he/him/his

Jewish

Is JewishIs not JewishNon-Jewish spouses and partners are always welcome to become members of Dor Hadash. However, for proper assignment of ritual tasks, Dor Hadash would like to know if someone is Jewish.

Date of Birth

Bar / Bat / B'nai Mitzvah Date

Torah Portion

Hebrew Name

Please use English transliterations

Parent 1 / Mother's Hebrew Name, if known (otherwise, English name)

Please use English transliterations

Parent 2 / Father's Hebrew Name, if known (otherwise, English name)

Please use English transliterations

Cell Phone

If applicable

Home Phone

If applicable

Work Phone

If applicable

Email Address

Accessibility Considerations and Accommodations

If applicable

Home Address

Street

City

State

Zip

Adult 2

Do you need to add a second adult?

Last Name

First Name

Nickname

if applicable

Pronouns

e.g. he/him/his

Jewish

Date of Birth

Bar / Bat / B'nai Mitzvah Date

Torah Portion

Hebrew Name

Please use English transliterations

Parent 1 / Mother's Hebrew Name, if known (otherwise, English name)

Please use English transliterations

Parent 2 / Father's Hebrew Name, if known (otherwise, English name)

Please use English transliterations

Cell Phone

If applicable

Work Phone

If applicable

Email Address

Accessibility Considerations and Accommodations

If applicable

Additional People

How many more people live in your home?

Person 1

Last Name

First Name

Nicknames

if applicable

Pronouns

e.g. he/him/his

Jewish

Date of Birth

Hebrew Name

Parent 1/Mother's Name. Please use English transliterations.

Son / Daughter / Child of

Parent 1/Mother's Name. Please use English transliterations.

Son / Daughter / Child of

Parent 2/Father's Name. Please use English transliterations.

Bar / Bat / B'nai Mitzvah Date

Torah Portion

Person 2

Last Name

First Name

Nicknames

if applicable

Pronouns

e.g. he/him/his

Jewish

Date of Birth

Hebrew Name

Parent 1/Mother's Name

Son / Daughter / Child of

Parent 1/Mother's Name

Son / Daughter / Child of

Parent 2/Father's Name

Bar / Bat / B'nai Mitzvah Date

Torah Portion

Accessibility Considerations and Accommodations

If applicable

Others Living in the Household

Are there any additional people in your household other than those listed above?

NoYes

Life Cycle Events

Is there a Bar / Bat / B'nai Mitzvah planned within the next two years?

Please Select OneYesNo

Is there an upcoming wedding, special anniversary, baby-naming, or other life event expected?

Yizkor: Please list names of the departed to be remembered at Yizkor Services on Yom Kippur.

Yahrzeits: Please include Yahrzeit information as follows: after each name, indicate date, month and year of death based on the English calendar. Please indicate if time of death was before or after sunset.

Where did you find out about Dor Hadash?

Community Dues Contribution Information
Our synagogue does not have a fixed membership dues structure. Instead, since 2022, we have used a system where each member chooses their own Community Dues Contribution. This allows us to meet our operating expenses in a way that is consistent with our community values. We are an economically diverse community that prides itself of being inclusive and open to all.

The average amount needed per member to cover our budgeted expenses this year is $1,030 per member or $2,060 for a family of two or more adults.
We recognize some are unable to contribute the average amount. If that is the case for you, simply decide what you are able to give.

* My Pledge amount will be:

* CDC payments can be made in any of the following ways:

Please Select OneZelle to Congregation Dor Hadash by choosing the email option, then enter treasurer@dorhadash.netCheck sent to Congregation Dor Hadash, 4905 Fifth Ave, Pittsburgh, PA 15213By check from a Donor Advised Fund or IRADirect deposit from Donor Advised Fund (we coordinate with Fidelity and Pittsburgh Foundation) -- please email manager@dorhadash.net.By using the Donorbox link (sent to you in the confirmation email) to make an on-line payment (this is the only method which involves fees)I need more information before deciding how to make my contributionPlease note that this is only a pledge, payment is not required before this form is submitted.