Membership Application - Form - Kol Torah of Baltimore, Inc.

Kol Torah of Baltimore

2929 Fallstaff Road ♦ Baltimore, MD 21209

membership@kol-torah.org ♦ www.kol-torah.org

Membership Application

* Select Membership Type

* Regular member reduced rate applies to full membership for new members under 30 years of age (either spouse) only.

* Billing Preference

Membership billing will start from the beginning of the current calendar quarter.

* Family Details

Member Photo

For Male applicants - please include a photo of yourself to help us locate you for an introduction in Shul.

Adult Member One

* Title

* Last Name

* First Name

* Middle Name

* Home Address

* City

* State

* Zip Code

* Home Phone

* Preferred Contact Number

* Email Address

* Birthday

* Marital Status

* Hebrew Name

* Kohen/Levi/Yisrael

Information about your father

* Title

* Father's Name

* Father's Hebrew Name

Applicant's Father and Applicant's Paternal Grandfather

Information about your mother

* Title

* Mother's Name

* Mother's Hebrew Name

Applicant's Mother and Applicant's Maternal Grandfather

Adult Member Two

* Title

* Last Name

* First Name

Middle Name

* Date of Birth

* Preferred Contact Number

Email Address

* Hebrew Name

Information about your father

* Title

* Father's Name

* Father's Hebrew Name

Spouse's Father and Spouse's Paternal Grandfather

Information about your mother

* Title

* Mother's Name

* Mother's Hebrew Name

Spouse's Mother and Spouse's Maternal Grandfather

Children

Child 1

Gender

MaleFemale

Name

Hebrew Name

Date of Birth

Child 2

Gender

MaleFemale

Name

Hebrew Name

Date of Birth

Child 3

Gender

MaleFemale

Name

Hebrew Name

Date of Birth

Child 4

Gender

MaleFemale

Name

Hebrew Name

Date of Birth

Child 5

Gender

MaleFemale

Name

Hebrew Name

Date of Birth

Child 6

Gender

MaleFemale

Name

Hebrew Name

Date of Birth

* Additional Children - Please List English and Hebrew Names, Gender and Date of Birth

Volunteer Opportunities

* There are many opportunities throughout the year to volunteer for the shul. Would you like to be added to the list of volunteers?

Yahrtzeit Information

* Is there any Yahrtzeit Information for a family member that you would like share?

Yahrtzeit 1

Deceased English Name

First, Middle, Last Format

Hebrew Name

Tribe

Yahrtzeit Hebrew

Observed By

Relationship to You

Yahrtzeit 2

Deceased English Name

First, Middle, Last Format

Hebrew Name

Tribe

Yahrtzeit Hebrew

Observed By

Relationship to You

Additional Yahrtzeit Information

Please note that membership applications are not finalized without receipt of the internet safety form and until the application has been reviewed by the membership committee and the Rav.

Please upload your Internet Safety Form Here

I agree to meet all financial obligations associated with this membership. Requests for special arrangements must be discussed with the President and are subject to the approval of the appropriate committee.

I have read and agree to the above