Online Membership Application

By becoming a member of Congregation Gates of Prayer, you are joining an engaged, thriving
community committed to finding connection with Jewish tradition. We offer a wide range of opportunities
to engage spiritually, educationally, and socially in Jewish life. We are dedicated to innovating and reimagining
how Judaism can be meaningful, led first and foremost by the passions and interests of our
congregants.

Congregation Gates of Prayer is a warm, welcoming community. The pledge amounts below are based
on our annual operating budget. Your contribution ensures that our community is not only maintained but
continues to grow and develop along with you and your family. Membership is one of many ways to
invest and contribute to this kehillah, this sacred community.

Full Membership – We encourage an annual contribution of at least 2% of gross annual income including
salary, interest, dividends, royalties etc. For those with gross annual income below $37,500, we suggest
at least a $750 commitment. Annual commitments do not include J-FLEx (religious school), B’nai Mitzvah,
Sisterhood, Brotherhood, Gates Preschool, or other fees.

Affiliate Membership - This option is ideal for families or individuals who maintain primary membership at
another synagogue. These persons may be permanent or temporary residents of the Greater New
Orleans region. We encourage an annual contribution of at least $375.

Every household is an important and equal part of Congregation Gates of Prayer. We strive to meet the
needs of everyone wishing to be part of our congregational family and no one is turned away due to
financial considerations. If you are unable to commit to the amount for Base Membership, we encourage
you to contact our Executive Director at wendy@gatesofprayer.org. Conversations will remain
confidential.

At Congregation Gates of Prayer, we value transparency and accessibility. Our Board of Trustees, under
the guidance of the Membership Vice President, oversees the new member approval process. As you
consider membership, please do not hesitate to reach out. Our clergy, staff and board members are
available to answer your questions or concerns.

Adult Member (A)

* First Name - Adult A

Middle Name

* Last Name

Preferred Name

Hebrew Name

Preferred Pronouns

* Date of Birth

* Marital Status

Please Select OneSinglePartnershipMarried

Anniversary Date

Occupation

Employer

* Primary Phone

* Cell Phone

* Personal E-mail

Work Email

* Which email is preferred for contact?

Please Select OnePersonal E-mailWork E-mail

* Home Address (Street, City, ZIP Code)

Emergency Contact

* Name

* Relationship

* Phone Number

* Address

Adult Member (B)

First Name - Adult B

Middle Name

Last Name

Preferred Name

Hebrew Name

Preferred Prounouns

Date of Birth

Marital Status

SinglePartnershipMarried

Anniversary Date

Occupation

Employer

Primary Phone

Cell Phone

Personal E-mail

Work E-mail

* Which email is preferred for contact?

Please Select OnePersonal E-mailWork E-mail

Home Address (Street, City, ZIP Code)

Emergency Contact

Name

Relationship

Phone Number

Address

Children (including adult children)

Child 1

First Name - Child 1

Middle Name

Last Name

Preferred Name

Hebrew Name

Preferred Pronouns

Date of Birth

Grade

School

Expected or celebrated Bar/Bat Mitzvah in year

Home Address (Street, City, ZIP Code - if different from Adult Member A and B)

Emergency Contact - Child 1

Please designate this contact as the emergency contact for all listed children

Emergency Contact Name - Child 1

Relationship

Phone Number

Home Address (Street, City, ZIP Code)

Child 2

First Name - Child 2

Middle Name

Last Name

Preferred Name

Hebrew Name

Preferred Pronouns

Date of Birth

Grade

School

Expected or celebrated Bar/Bat Mitzvah in year

Home Address (Street, City, ZIP Code - if different from Adult Member A and B)

Emergency Contact - Child 2 (If different from previously listed child)

Emergency Contact Name - Child 2

Relationship

Phone Number

Home Address (Street, City, ZIP Code)

Child 3

First Name - Child 3

Middle Name

Last Name

Preferred Name

Hebrew Name

Preferred Pronouns

Date of Birth

Grade

School

Expected or celebrated Bar/Bat Mitzvah in year

Home Address (Street, City, ZIP Code - if different from Adult Member A and B)

Emergency Contact - Child 3 (If different from previously listed child)

Emergency Contact Name - Child 3

Relationship

Phone Number

Home Address (Street, City, ZIP Code)

Child 4

First Name - Child 4

Middle Name

Last Name

Preferred Name

Hebrew Name

Preferred Pronouns

Date of Birth

Grade

School

Expected or celebrated Bar/Bat Mitzvah in year

Home Address (Street, City, ZIP Code - if different from Adult Member A and B)

Emergency Contact - Child 4 (If different from previously listed child)

Emergency Contact Name - Child 4

Relationship

Phone Number

Home Address (Street, City, ZIP Code)

General Information

Do you have any friends or family who are current members of CGOP?

Please include both names and relationships.

Memorials

Yahrzeits are observed and announced on the Shabbat following the anniversary of death. For those you wish remembered, please list the name, their relationship to a family member, and the English month, day and year of death.

I prefer to observe the Hebrew date for memorials

* Congregation Gates of Prayer maintains its membership data for official congregation use only. Members may choose to be included in the Member Directory which is distributed only to congregants.

Please Select OneYes, include my information in the Member DirectoryNo, do not include my information in the Member Directory

Are there any special needs in your family which we should be aware of? If yes, please explain.

Are you currently a member of a congregation? If so, please provide the name and address:

I would like more information about:

Payment Information

* We/I hereby apply for membership at Congregation Gates of Prayer and agree to abide by its constitution. We agree to apply at the following membership financial commitment level.

Please Select OneBase MembershipMulti-Synagogue MembershipModified Membership (please contact administrator@gatesofpayer.org so that we may discuss how to meet your financial needs)

Subject to the approval by the Board of Trustees, we/I agree to contribute annual dues of ($)

I will pay my dues

Annually (due June 30th)Monthly – 12 payments (due monthly July 31st – June 30th)

We/I submit our first contribution for dues in the amount of ($)