New Membership Application

Number of Members Applying
- 1
- 2
Member 1 Information
Title*
Name*
Email Address*
Cell Phone*
Birthday
Anniversary
Member 2 Information
Title*
Name*
Email Address*
Cell Phone*
Birthday
Anniversary
Primary Address
Year-Round?
- Check if year-round mailing address
Street Address*
City*
State*
Zip Code*
Phone
Secondary Address
Street Address*
City*
State*
Zip Code*
Phone
Additional Member Information
Member 1 Hebrew Name
Member 2 Hebrew Name
Member 1 Occupation
Member 2 Occupation
Member 1 Business Phone
Member 2 Business Phone
Denomination
- None
- Orthodox
- Conservative
- Reform
Family Record
Please list any children’s English name(s), Hebrew name(s) and date(s) of birth.
How did you find out about us; what attracted you to our JCC?
Yahrzeit Information
The JCC of LBI sends reminders to our members of their loved ones’ yahrzeits. In addition these names are read on the appropriate Friday evening service.

Please be aware that if you do not provide the full date of death, we are unable to send you Yahrzeit notices, nor can we have the name read during the appropriate service. If you need help with the date you can usually contact the cemetery, the funeral home or the presiding Rabbi for assistance.

If you wish to honor the memory of a dear one, a most fitting, traditional and dignified remembrance is through a Memorial Plaque and Lamp. Each memorial plaque, bearing the name and yahrzeit date, is mounted on the bronze tablet in the Sanctuary. It is lit on the Shabbat of the week of the yahrzeit, on the day of the yahrzeit and on the four festivals during the year when Yizkor is recited. Please call the office for further information.
Member 1 Yahrzeit
For each deceased love one, please include English Name, Hebrew Name (if desired), Relationship to Member, English Date of Death, and Before/After Sundown
Member 2 Yahrzeit
For each deceased love one, please include English Name, Hebrew Name (if desired), Relationship to Member, English Date of Death, and Before/After Sundown

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Total

New Membership Application

Member 1 Information

Member 2 Information

Primary Address

Secondary Address

Additional Member Information

Yahrzeit Information

AN EVENING OF OPERA, BROADWAY & GREAT JEWISH CLASSICS And Wine Tasting

Featuring

CANTOR DAVID BABINET WITH PIANIST YISROEL EDELSON

SUNDAY, FEBRUARY 14TH – 7:30 PM ZOOM EVENT

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