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Park Avenue Synagogue Membership Form


Park Avenue Synagogue seeks to inspire, educate, and support our membership toward living passion-filled Jewish lives. Through spirited prayer, study, observance, and acts of kindness we aspire to foster deep connections with each other, our Torah, our God, the people and State of Israel, and our shared humanity. In practicing a Judaism filled with love, literacy, reverence, compassion, and joy, we strive to make our ancient tradition compelling and welcoming to contemporary Jewry and to serve as a light unto our fellow Jews and the nations.

The information you furnish will be kept confidential. It is intended only for our records and to help us to better serve you and your family.

Non­-resident membership is available to those whose primary legal residence is outside the city of New York, who wish to maintain an affiliation with Park Avenue Synagogue and want to receive ongoing mailings from PAS. Non­-resident members do not receive any tickets for the High Holidays.

Household Information










Please indicate the dates to receive mail at this address:





















Member #1







Please be sure to enter the full, four-digit year of birth



























Member #2







Please be sure to enter the full, four-digit year of birth


























Please list children from oldest to youngest.
Child #1 Information







Please be sure to enter the full, four-digit year of birth











Child #2 Information







Please be sure to enter the full, four-digit year of birth











Child #3 Information







Please be sure to enter the full, four-digit year of birth











Child #4 Information







Please be sure to enter the full, four-digit year of birth











Child #5 Information







Please be sure to enter the full, four-digit year of birth











Child #6 Information







Please be sure to enter the full, four-digit year of birth













Yahrzeit Observance 1




The deceased was a _______ to the member (ex. Mother, Brother, etc.)

We will convert this to the Hebrew Calendar for you based on this value and Time of Death

We will assume the time is Before Sunset unless you tell us otherwise

Yahrzeit Observance 2




The deceased was a _______ to the member (ex. Mother, Brother, etc.)

We will convert this to the Hebrew Calendar for you based on this value and Time of Death

We will assume the time is Before Sunset unless you tell us otherwise

Yahrzeit Observance 3




The deceased was a _______ to the member (ex. Mother, Brother, etc.)

We will convert this to the Hebrew Calendar for you based on this value and Time of Death

We will assume the time is Before Sunset unless you tell us otherwise

Yahrzeit Observance 4




The deceased was a _______ to the member (ex. Mother, Brother, etc.)

We will convert this to the Hebrew Calendar for you based on this value and Time of Death

We will assume the time is Before Sunset unless you tell us otherwise

Yahrzeit Observance 5




The deceased was a _______ to the member (ex. Mother, Brother, etc.)

We will convert this to the Hebrew Calendar for you based on this value and Time of Death

We will assume the time is Before Sunset unless you tell us otherwise

Get Involved!
There are a number of wonderful ways you can participate in activities at PAS. Please check all that interest you:






High Holiday Seating
We have two types of memberships at Park Avenue Synagogue. All benefits of membership are the same except for seating during the High Holidays. Aleph Members have unreserved seats and Bet Members have reserved seats.

We are currently accepting new Aleph Memberships. Children up to the age of 24 are included in Aleph memberships.


You will be notified once reserved seats become available, with the option to accept them at that time.
Agreements

Please note that submission of the membership form automatically adds you to all general PAS email announcements.


If you have any questions, please contact PASMembership@pasyn.org.
Community Covenant

AS A COMMUNITY, WE COMMIT TO...

בצלם אלהים B'tzelem Elohim/Created in the Image of God: Believing that each of us is worthy of, and should be treated with, respect.

כבוד Kavod/Honor: Celebrating cultural and ethnic diversity within our evolving community, including individuals who are differently abled, people of all sexual orientations and gender identities, and all families of all different structures.

גמילות חסידים Gemilut Hasadim/Loving Kindness: Exhibiting sensitivity and compassion through open and truthful communication and actions.

צדק Tzedek/Standing Up for Justice: Respecting the personal and physical boundaries of others and showing zero tolerance for bullying or harassment.

שלום בית Shalom Bayit/Peace at Home: Following communal safe practices so that all members can worship, learn, and congregate in a healthy and safe environment.