DC Minyan Membership Form

We encourage you to become a DC Minyan member for 5768 (2007-2008). Your membership dues are essential to DC Minyan's programming throughout the coming year. In addition to basic membership fees, we welcome greater contributions from those who are able to help support the programming of the DC Minyan. You can join by filling out this online membership form. If you have any questions, please email .

Annual (August/September 2007 - August 2008) membership dues are $260 per individual member or $460 per family. For those earning less than $35,000 per year, membership dues are $180 per member. Alumni membership dues are $36 per year. Dues are waived for children (under 18) of DC Minyan members. Dues include a seat for the high holidays for each member. Additional tickets for out-of-town guests of DC Minyan members cost $75 per person. For non-members, high holidays seats can be purchased for $150 per person using this form. (For non-members attending Rosh Hashanah services only, the cost is $100 per person. For non-members attending Yom Kippur services only, the cost is $50 per person.)

This year we have an additional avenue for DC Minyan membership: ASSOCIATE MEMBERSHIP. Associate membership is $90 annually, and is exclusively available for out-of-town guests of DC Minyan members. As high holiday tickets cost $75 per ticket, those out-of-town guests attending high holiday services can become an associate member for just $15 more while helping to support the Minyan. Associate membership is ideal for Minyan alumni, parents, grandparents, out-of-town friends, and anyone else who is interested in supporting the Minyan from out of town. Associate members receive the exact same benefits as regular members.

Memberships are one year ending in August. Membership can be pro-rated if you are joining between October and July. You can calculate your pro-rated membership by dividing the total membership fee by 12 and multiplying that by the number of months left from the present until September. DC Minyan is committed to being an inclusive community. If you anticipate any difficulty in paying, we encourage you to contact one of the Minyan organizers directly, or email .

Check this box if you wish to be omitted from the directory:
Fields marked with a "*" are required to submit the form. Javascript must be enabled on your browser for this form to work correctly.

GROUP ADDRESS AND CONTACT INFORMATION
* Street Address (Line 1):
Street Address (Line 2):
* City:
* State:
* Zipcode:
* Home telephone: - -

Anniversary, if applicable (yyyy-mm-dd):

Children (please list names and ages of children under 18):

Check this box if you plan to attend Rosh Hashanah services this year:

Check this box if you plan to attend Yom Kippur services this year:

Check this box if you wish to be an alumni member:

Please note the number of people that will be attending High Holiday services, including guests:
* Rosh Hashanah
* Yom Kippur

We/I am interested in participating in a learner's program this year.

DUES, CONTRIBUTIONS AND FEES
Membership/High holiday $
Only High Holiday 2007 $
Additional Contribution $
Total $

Please select a payment method:
* PayPal A check is in the mail

INDIVIDUAL INFORMATION
You must enter information about at least one person to submit the form. If you are submitting for two people, please use the second column for entering the second person's information; if you're submitting for only one person, ignore second column.
Information about the first individual in your member group
 If you have two individuals in your group, enter the second person's information into this column. For that person to be submitted, you must fill out the required fields.
DC Minyan Membership and High Holiday Form * First Name:
* Last Name:
* E-mail:
Work Phone: - -
Mobile Phone: - -
Birthdate (yyyy-mm-dd):
(Age information will not be distributed; it will only be used for demographic purposes.)

Other Information
Kohen/Levi/Yisrael:
Bar/Bat Mitzvah Parasha:
   Other Parasha
   Can you read this Parasha/Haftara? Yes No
Hebrew Name:
Mother's Hebrew Name:
Father's Hebrew Name:

For the High Holidays, I would like to volunteer to...
Help move the Torah
Help move Machzorim and other necessities
Be an ambassador (when people arrive, need help with pages, etc.)
Help with Break Fast
Help compile membership information / directory
Do something else (please specify)

In general, I would like to volunteer for...
Reading Torah
Leading services (Friday night)
Leading services (Shabbat Morning)
Giving a D'var Torah
Learning to read Torah, lead services or give a D'var Torah
Social Action
Event planning (logistics)
Grant writing
Fundraising
Other (please specify)
DC Minyan Membership and High Holiday Form * First Name:
* Last Name:
* E-mail:
Work Phone: - -
Mobile Phone: - -
Birthdate (yyyy-mm-dd):
(Age information will not be distributed; it will only be used for demographic purposes.)

Other Information
Kohen/Levi/Yisrael:
Bar/Bat Mitzvah Parasha:
   Other Parasha
   Can you read this Parasha/Haftara? Yes No
Hebrew Name:
Mother's Hebrew Name:
Father's Hebrew Name:

For the High Holidays, I would like to volunteer to...
Help move the Torah
Help move Machzorim and other necessities
Be an ambassador (when people arrive, need help with pages, etc.)
Help with Break Fast
Help compile membership information / directory
Do something else (please specify)

In general, I would like to volunteer for...
Reading Torah
Leading services (Friday night)
Leading services (Shabbat Morning)
Giving a D'var Torah
Learning to read Torah, lead services or give a D'var Torah
Social Action
Event planning (logistics)
Grant writing
Fundraising
Other (please specify)

Check this box when you are ready to submit the form.