Kol Sasson Membership Application

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Welcome to Kol Sasson. We’re glad you’re here.
Please fill out this form as completely as you can.

PRIMARY MEMBER INFORMATION

* First Name

* Last Name

Hebrew Name

* Birthday

Father Hebrew Name

Mother Hebrew Name

* Mobile Phone

* Email

OCCUPATION INFORMATION

Occupation

* Is there more than one Adult Member in your household?

* Marital Status

Anniversary Date (if applicable)

SECONDARY MEMBER INFORMATION

* First Name

* Last Name

Hebrew Name

* Birthday

Father Hebrew Name

Mother Hebrew Name

Mobile Phone

OCCUPATION INFORMATION

Occupation

HOME ADDRESS INFORMATION

* Address

* City

* State

* Zip

Home Phone (if applicable)

CHILDREN INFORMATION

* How many children do you have?

CHILD 1 INFORMATION

* Child's Name

Child's Hebrew Name

* Date of Birth

* Gender

* School Attending

CHILD 2 INFORMATION

* Child's Name

Child's Hebrew Name

* Date of Birth

* Gender

* School Attending

CHILD 3 INFORMATION

* Child's Name

Child's Hebrew Name

* Date of Birth

* Gender

* School Attending

CHILD 4 INFORMATION

* Child's Name

* Child's Hebrew Name

* Date of Birth

* Gender

* School Attending

CHILD 5 INFORMATION

* Child's Name

Child's Hebrew Name

* Date of Birth

* Gender

* School Attending

CHILD 6 INFORMATION

* Child's Name

Child's Hebrew Name

* Date of Birth

* Gender

* School Attending

YAHRZEIT INFORMATION

* How many Yahrzeits to add to your account?

YAHRZEIT INFORMATION

* Full Name

Hebrew Name

* Name/Names of Observer

* Relationship to the Deceased

* Date of Death

* After Sundown?

YAHRZEIT INFORMATION

* Full Name

Hebrew Name

* Name/Names of Observer

* Relationship to the Deceased

* Date of Death

* After Sundown?

YAHRZEIT INFORMATION

* Full Name

Hebrew Name

* Name/Names of Observer

* Relationship to the Deceased

* Date of Death

* After Sundown?

YAHRZEIT INFORMATION

* Full Name

Hebrew Name

* Name/Names of Observer

* Relationship to the Deceased

* Date of Death

* After Sundown?

YAHRZEIT INFORMATION

* Full Name

Hebrew Name

* Name/Names of Observer

* Relationship to the Deceased

* Date of Death

* After Sundown?

YAHRZEIT INFORMATION

* Full Name

Hebrew Name

* Name/Names of Observer

* Relationship to the Deceased

* Date of Death

* After Sundown?

Membership Levels

Family Full Membership: $950

Single or Single Head of Household Full Membership: $590

Associate Membership: $580

As always, if you have difficulty in paying membership dues, please contact the VP of Membership to discuss other arrangements. We will not turn anyone away due to financial hardship, and we will treat all discussions with dignity and discretion.

* Please select your desired level of membership

APPLICANT SIGNATURE(S)

* Digital Signature

* Date

Mon, December 15 2025 25 Kislev 5786

Kol Sasson Congregation is an inclusive, observant community in Skokie, Illinois that strives to transform Jewish lives through critical inquiry within the traditional framework of Halakha.

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