Kehillat Or Tzion

Membership application

Please complete the form below. Applications are reviewed by the Board, and uploaded documents are held securely in accordance with UK GDPR.

Membership type

What type of membership are you applying for? *

Main applicant

Prefix First name *Middle name Surname *

Date of birth *Full Hebrew name *Tribal status for Torah honours *Have you converted to Judaism? *Please upload evidence of Jewish status, such as a ketubah or parents' conversion certificate *PDF, JPEG, PNG, WEBP, DOC, or DOCX. Maximum 8 MB per file.

Household contact

First line of address *House, apartment, flat number or name Town/City *County *Postcode *Phone number *Email address *

Children

Number of children under 18 in full-time education *

Community details

Do you speak any other languages? *

Do you belong to any other synagogues? *

Have you belonged to any other synagogues in the past? *

What inspired you to join Kehillat Or Tzion? *

Do you have any special interests, talents, or skills you would like to share? *

Yahrzeit details you wish to include

Finance and documents

Preferred Direct Debit collection date *Would you like to join the JJBS Burial Scheme? *Please upload an identification document, for example passport or driving licence *PDF, JPEG, PNG, WEBP, DOC, or DOCX. Maximum 8 MB per file.

Consents and emergency contact

I agree to abide by the synagogue Code of Conduct. *I am a UK taxpayer and would like Kehillat Or Tzion Synagogue to reclaim Gift Aid on this and any future donations I make.I confirm the information provided is accurate and consent to the membership processing and data-sharing statement. *

Emergency contact name *Emergency contact telephone number *