Join KI

Join the ki family

We love new members! If you would like to join the KI family, please fill out the form below. After your application is reviewed by the Rabbi and approved by board, we will contact you.

Shalom!

Join KI

* Family Name

Spouse Last Name (if different)

* Home Phone

* Address 1

Address 2

* City

* State

* Zip

* Member type

Please Select OneFull member (family)Full member (single)Affiliate (family)Affiliate (single)

* Family tribe

Please Select OneKohenLeviYisrael

* Title

* Spouse Title

* First name

* Spouse first name

* Gender

Please Select OneMaleFemale

* Spouse gender

Please Select OneFemaleMale

* Hebrew name (no parent name)

* Spouse Hebrew name (no parent name)

* Father's Hebrew name

* Spouse father's Hebrew name

* Mother's Hebrew name

* Spouse mother's Hebrew name

* Email

Spouse email

Cell phone

Spouse cell phone

Birth date

Spouse birth date

Wedding anniversary

Children?

YesNo

Children (English and Hebrew names; English date of birth). Start each on a blank line.

Observe Yahrzeit(s)?

NoYes

Yahrzeits [Full English name of deceased; full Hebrew name of deceased; English date of passing; Hebrew date of passing; Name of person observing; Relationship to observer]. Start each on a blank line.

Other information (if needed)

If you or any member of your family (parent, grandparent, child) are Geirei Tzedek (converts to Judaism) please check this box.

Fri, January 17 2025 17 Tevet 5785

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