First Narayever Congregation
187 Brunswick Ave.
Toronto, ON M5S 2M4
416-927-0546

We welcome your interest in joining our shul. The First Narayever is an egalitarian Jewish congregation, unaffiliated with any religious movement, and committed to:

conducting Jewish religious services in a traditional manner and making no gender-specific role differentiations;
building a kehila kedosha, rooted in love of torah, Israel and the Jewish people;
providing educational programs for youths and adults;
promoting the concept of tikun olam through social action projects and by raising funds for tzedakah;
creating and maintaining a welcoming spiritual environment in which to celebrate simchas as well as to grieve and mourn losses;
fostering social and cultural activities which create a strong sense of community; and
contributing to the vitality of the downtown Toronto Jewish community.

Application for Membership

We welcome members of the Jewish community by birth or conversion to apply for membership at the Narayever. We encourage you to learn more about us by going to our website and to contact the rabbi or our Membership chair if you have any further questions about our congregation.

To become a member, please mail your completed form to the address above. It will help us get to know you better. We will use this information in accordance with the First Narayever Congregation privacy policy. You can find this policy, among others, on our website.

Today's Date (DD MM YY) / /

Personal Information:

	Member 1	Member 2
Membership type: Full time student, 20-29 or Everyone else	Full Time Student Adult	Full Time Student Adult
Given name
Preferred name
Last name
Hebrew Name (Your name ben/bat father's name ve/u mother's name)
Street Address
City
Postal Code
Date of Birth
Occupation
Home Telephone
Business Telephone
Mobile number
Email
Marital status
Are your (birth) mother and maternal grandmother Jewish? If not, please send appropriate conversion documents.	Yes No	Yes No
How long have you resided in Toronto?
Former Community and Congregation (if applicable)

Yahrzeits

English name of deceased
Relationship
Yahrzeit	Hebrew Date or English Date (DD MM YY) / / before sunset after sunset Aliyah requested: Yes No	Hebrew Date or English Date (DD MM YY) / / before sunset after sunset Aliyah requested: Yes No

English name of deceased
Relationship
Yahrzeit	Hebrew Date or English Date (DD MM YY) / / before sunset after sunset Aliyah requested: Yes No	Hebrew Date or English Date (DD MM YY) / / before sunset after sunset Aliyah requested: Yes No

Involvement & Community Information

Please indicate which of the following activities/committees you would be contacted by regarding your personal involvement:

	Member 1	Member 2
Leading Services
Reading Torah and Haftorah
Adult Education Committee
Building Committee
Communications Committee
Fund Raising
Hesed Committee
Israel and Community Committee
IT Support
Kiddush Committee
Ritual Committee
Social Action Committee
Special Celebrations Committee
Youth Programming
Youth Committee
Is there anything else you would like us to know about you, or questions you have about being a member of the shul?
Are you interested in listing your name and phone number in our Narayever phone book, distributed annually to all shul members?	Yes No	Yes No

Children

Please list only your children who are 19 years and under

	Child 1	Child 2
First name
Preferred name
Last name
Hebrew name
Date of Birth
Is your child Jewish?	Yes By birth to a Jewish mother by conversion No	Yes By birth to a Jewish mother by conversion No
School and Grade
Name of Jewish Supplementary School(if applicable)

	Child 3	Child 4
First name
Preferred name
Last name
Hebrew name
Date of Birth
Is your child Jewish?	Yes By birth to a Jewish mother by conversion No	Yes By birth to a Jewish mother by conversion No
School and Grade
Name of Jewish Supplementary School(if applicable)