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New Membership Form and Seat Selection

  • Applicant Information

  • Spouse Information

  • Children Information

    Please list children living in your household. Family members living in a separate household are to submit a separate form.
  • Yahrtzeit Information

  • Please note: Uptown Chabad’s open door policy to every Jew remains in full effect. If you feel that your financial situation does not allow for you to pay the standard fees, please contact the office.

  • High Holiday Seating

    Seat reservations are for adult members of your household only. Interactive age appropriate youth programs will be held for children under 13 years old.
  • Payment Information

  • Credit Card
    Billing Address
  • $0.00
  • Should be Empty:
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