Information for Adult #1

Parent's Information

Yahrzeits Observed

Please note that we have provided room for 3 Yahrzeits on this form. If you require more, you will be able to provide additional information once your form is submitted and your account is active.

Information for Adult #2

Parent's Information

Yahrzeits Observed

Please note that we have provided room for 3 Yahrzeits on this form. If you require more, you will be able to provide additional information once your form is submitted and your account is active.

Children's Information

Membership Commitment & Enrollment Information

Our Suggested contribution level is based around a "Sustaining Level," which is the average amount needed from each member household to sustain the operations, facilities, programs, and services at Adat Ari El. This excludes Adat Ari El schools, which will continue to remain funded primarily though tuition. The endowment remains independent.

This Year's Sustainability Amount:

Our Sustainability amount for the 2020-2021 year is $2900.

The minimum contribution for all members/member families is $500.

Recognition on the Annual Giving Wall is offered to those who contribute at or above the Sustaining amount.

Subscriptions/Interests

Adat Ari El Security Information

Emergency Contact Information

Primary Emergency Contact

Secondary Emergency Contact

Vehicle Information

Please note that you will only receive a vehicle sticker in the mail if you fill out information for each vehicle. We require license plate information. Additional vehicle sticker requests may be submitted to the office and we encourage you to call for assistance if you require additional stickers.

If you walk or bike to campus or don't own/operate a motor vehicle, please write "None" in the required fields below. You will receive a Walk-On Security Pass from our office if we see this in your form. 

First Vehicle

Second Vehicle

Third Vehicle

In applying for Adat Ari El membership, I agree to conform to the By-Laws and to honor all monetary pledges to the congregation. (If you would like a copy of the By-Laws sent to you via e-mail, please contact the office.)

Please sign electronically below:

I/We understand that all resignations from Adat Ari El MUST be received in writing by the administrative office no later than 30 days prior to the effective resignation date. 

Please sign electronically below: