Village Wednesdays

We are so pleased that you are a part of the Congregation Or Ami Family!

Please take a few minutes to complete or update all sections below. Thank you.

ACCOUNT INFORMATION

Adult 1

* First Name:

* Last Name:

* Email:

* Cell Phone:

Adult 2

First Name:

Last Name:

Email:

Cell Phone:

Mailing Address and Home Phone:

If your mailing address or home phone has changed, please check the box below and provide updated information.

My mailing address and/or home phone has changed.

* Home Mailing Address:

* City:

* State:

* Zip Code:

Home Phone:

PARTNERSHIP

* Please select one:

Please Select OneI will renew at my current partnership level.Please contact me to discuss my partnership.
Click here for information about 2023-2024 Partnership Levels.

EDUCATION

Check all that apply:

I will be enrolling student(s) in the K - 6 Kesher program.I will be enrolling student(s) in the 7 - 8 MAKOM program.I will be enrolling student(s) in the 9 - 12 MAKOM High program.
Click here for information about 2023-2024 Education Programs and Tuition.

OR AMI VILLAGE - For Or Ami Partners 55 and Over

Or Ami Village is a vibrant and welcoming community for partners 55+. Villagers have been gathering twice a month for over 3 years to socialize, laugh and learn together and to form connections and friendships in the warm Or Ami way. JOIN US and help the Village continue to thrive!

Please select one:

NoneOne adult joining the Village for 2023-2024 at $100 total.Two adults joining the Village for 2023-2024 at $200 total.

PAYMENT

Please tell us how you would like to pay your partnership fees.

* Payment Plan:

* Payment Method:

Last 4 digits of credit card to use for payment:

Post my first payment in:

Day of month for payments to post:

(1st, 15th, 30th)

Partnership fees must be paid in full by April 30, 2024.

* I have fully read and agree to the following terms (please write full name):

The undersigned hereby represents, warrants and agrees that (i) he/she has read and understood the content of this Application, (ii) all the information provided to COA herein is true and correct as of the date hereof, (iii) he/she agrees to be bound by the terms hereof including the payment of the Partnership Commitment and other fees and fees as and when due and payable hereunder, (iv) he/she agrees to pay a late fee of two percent (2%) per month on the unpaid balance of dues and fees not paid as and when due hereunder, (v) he/she shall abide by the bylaws, rules and regulations of COA as they currently exist and/or as they shall be amended or adopted during the term of this membership, (vi) that COA may publish and republish photographs and videos taken of me and my family at any and all COA events. Said publication may include COA’s newsletter, website, Facebook, Twitter, Instagram, social media, e-newsletters and other publications, and local and national media as it shall determine, and (vii) COA may include the information on this form in a roster that is distributed only to the COA community. Furthermore, I consent that such photographs and or videos shall be the property of COA, which has the right to duplicate, reproduce and make other uses as COA deems necessary. The undersigned authorize COA to publish photographs of me and my family for the express purposes consistent with the mission and operations of COA.

Wednesday, March 26, 2025 • 26 Adar 5785

Register

Login

or

Enter Your details

Join Our Mailing List

	Attending Free
	We are so pleased that you are a part of the Congregation Or Ami Family! Please take a few minutes to complete or update all sections below. Thank you. ACCOUNT INFORMATION Adult 1 * First Name: * Last Name: * Email: * Cell Phone: Adult 2 First Name: Last Name: Email: Cell Phone: Mailing Address and Home Phone: If your mailing address or home phone has changed, please check the box below and provide updated information. My mailing address and/or home phone has changed. My mailing address and/or home phone has changed. * Home Mailing Address: * City: * State: * Zip Code: Home Phone: PARTNERSHIP * Please select one: Please Select OneI will renew at my current partnership level.Please contact me to discuss my partnership. Click here for information about 2023-2024 Partnership Levels. EDUCATION Check all that apply: I will be enrolling student(s) in the K - 6 Kesher program.I will be enrolling student(s) in the 7 - 8 MAKOM program.I will be enrolling student(s) in the 9 - 12 MAKOM High program. Click here for information about 2023-2024 Education Programs and Tuition. OR AMI VILLAGE - For Or Ami Partners 55 and Over Or Ami Village is a vibrant and welcoming community for partners 55+. Villagers have been gathering twice a month for over 3 years to socialize, laugh and learn together and to form connections and friendships in the warm Or Ami way. JOIN US and help the Village continue to thrive! Please select one: NoneOne adult joining the Village for 2023-2024 at $100 total.Two adults joining the Village for 2023-2024 at $200 total. PAYMENT Please tell us how you would like to pay your partnership fees. * Payment Plan: * Payment Method: Last 4 digits of credit card to use for payment: Post my first payment in: Day of month for payments to post: (1st, 15th, 30th) Partnership fees must be paid in full by April 30, 2024. * I have fully read and agree to the following terms (please write full name): The undersigned hereby represents, warrants and agrees that (i) he/she has read and understood the content of this Application, (ii) all the information provided to COA herein is true and correct as of the date hereof, (iii) he/she agrees to be bound by the terms hereof including the payment of the Partnership Commitment and other fees and fees as and when due and payable hereunder, (iv) he/she agrees to pay a late fee of two percent (2%) per month on the unpaid balance of dues and fees not paid as and when due hereunder, (v) he/she shall abide by the bylaws, rules and regulations of COA as they currently exist and/or as they shall be amended or adopted during the term of this membership, (vi) that COA may publish and republish photographs and videos taken of me and my family at any and all COA events. Said publication may include COA’s newsletter, website, Facebook, Twitter, Instagram, social media, e-newsletters and other publications, and local and national media as it shall determine, and (vii) COA may include the information on this form in a roster that is distributed only to the COA community. Furthermore, I consent that such photographs and or videos shall be the property of COA, which has the right to duplicate, reproduce and make other uses as COA deems necessary. The undersigned authorize COA to publish photographs of me and my family for the express purposes consistent with the mission and operations of COA.
Total	$