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Membership Application

I/We wish to become a member of Chicago Sinai Congregation. 

Please complete this application. The information you furnish will be strictly confidential. It is intended for our records and to help us better serve you and your family. 

Adult 1 Information

Adult 2 Information

Account Information

Child(ren) Information

Please fill in the following information as it applies to each of your children under the age of 26. 
Do you have children who are 21 and older? If yes, please share their name, email address and address below.

Yahrzeit Observation

We will be pleased to notify you of the yahrzeit dates of your loved ones. If you have more than four yahrzeits, please contact Tia Rashke in the temple office:, 312-867-7000. 

Opportunities for Engagement

Chicago has a proud tradition of member involvement. Please take a moment to review these opportunities and check those that are of special interest to you. We will connect you to the appropriate person so you can learn more. 

Membership Type

Membership in Chicago Sinai Congregation is your way of saying that our values and the programs we offer are important to you and your family. We ask all members to contribute accordingly to the enclosed dues schedule reflecting the financial resources of individuals and families at different stages of life.
I/we agree that Chicago Sinai Congregation can use my/our photo in any printed or digital materials unless I/we revoke this consent in writing. Shabbat services and the 5PM, 8PM, and 11AM High Holy Day services at Sinai will be live streamed.

The Congregation makes every effort to respond to the concerns of members with financial needs in formulating a level of support that is both comfortable and appropriate. Members with financial needs should contact Jan Kaufman, Director of Development and Head of Operations, at or 312.867.7000 for more information. 

Mon, March 20 2023 27 Adar 5783