2017 - 2018 Membership Survey

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* 1. Please enter your personal contact information below. Section #2 will ask for information about other members of your household, if applicable.

Your first and last name: *

Your Hebrew name for being called up to the Torah (___ ben/bat ___): *

Your email address: *

Your home phone number:

Your cell phone number:

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* 2. Household information (please fill out based on persons who live with you as applicable):

First and last name of spouse/partner:

Hebrew name of spouse/partner:

Name of Child 1:

Birth date of Child 1:

Name of Child 2:

Birth date of Child 2:

Name of Child 3:

Birth date of Child 3:

Name of Child 4:

Birth date of Child 4:

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* 3. Will you be joining us all year, or just for the High Holidays?

All year

Just for High Holidays

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* 4. If you would like to be included in the Minyan Tehillah directory, please write your information in this Google doc: https://docs.google.com/spreadsheets/d/1iJUp37PzjdT5Hs1sMbWk4PDzt5g7Gb2eLUM8HQMpGB4/edit?usp=sharing

I have entered my information in the Minyan Tehillah directory at https://docs.google.com/spreadsheets/d/1iJUp37PzjdT5Hs1sMbWk4PDzt5g7Gb2eLUM8HQMpGB4/edit?usp=sharing

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* 5. If you would like to become a member of Minyan Tehillah, please pick the option that is appropriate for you.

Notes on Membership:
- Only dues-paying members may VOTE on any proposals submitted to the minyan membership, including minyan elections.
- These are suggested dues based on the minyan's budget. You may give any amount towards your membership but must select a membership option below to be considered a member.
- The student/senior and adult rates are listed as per person rates, so please select the number of adults you are purchasing membership for. If you are purchasing membership for a child or children, please add one additional fee ($250) to cover all children. For example, a family of two non-student adults and two children would have a suggested donation amount of $710 ($230 + $230 + $250).

	Quantity
Student/Senior rate: $136 per person, includes High Holiday seat	Student/Senior rate: $136 per person, includes High Holiday seat Quantity menu
Adult rate: $230 per person, includes High Holiday seat	Adult rate: $230 per person, includes High Holiday seat Quantity menu
Child/children over 1: Add $250 (includes children's programming throughout the year for all children)	Child/children over 1: Add $250 (includes children's programming throughout the year for all children) Quantity menu

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* 6. If you do NOT want to become a member, but would like to attend High Holiday services, please choose one of the following options:

	Quantity
High Holiday attendance only: $180 per person	High Holiday attendance only: $180 per person Quantity menu
Rosh Hashanah attendance only: $130 per person	Rosh Hashanah attendance only: $130 per person Quantity menu
Yom Kippur attendance only: $70 per person	Yom Kippur attendance only: $70 per person Quantity menu
Student/Senior High Holiday attendance only: $100 per person	Student/Senior High Holiday attendance only: $100 per person Quantity menu
Student/Senior Rosh Hashanah attendance only: $72 per person	Student/Senior Rosh Hashanah attendance only: $72 per person Quantity menu
Student/Senior Yom Kippur attendance: $36 per person	Student/Senior Yom Kippur attendance: $36 per person Quantity menu

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* 7. High Holiday Childcare: Minyan Tehillah is offering childcare and programming during High Holiday services for children ages 2 and up. As in past years, the minyan is committed to subsidizing part of the cost of this childcare.

You MUST pre-register your child(ren) to guarantee childcare. If you do not pre-register your child, s/he may be cared for (resources permitting) for an additional $10/day, charged after the holidays, to cover the cost of contingency planning.

While we will not be providing childcare for children under the age of 2. Parents with children in that age range are welcome to use the childcare space.

Please contact kids@minyantehillah.org with any questions about childcare and programming.

	number of children over 2
Rosh Hashanah Day 1 ($9/child)	Rosh Hashanah Day 1 ($9/child) number of children over 2 menu
Rosh Hashanah Day 2 ($9/child)	Rosh Hashanah Day 2 ($9/child) number of children over 2 menu
Yom Kippur (night) ($4/child)	Yom Kippur (night) ($4/child) number of children over 2 menu
Yom Kippur (day) ($14/child)	Yom Kippur (day) ($14/child) number of children over 2 menu

Please note names, ages, and allergies, of all children who will be attending. Please separate multiple names with commas.

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* 8. While most of Tehillah’s budget comes from membership dues, we recognize that it may not work for everyone to pay these amounts for membership. Please give what you can, as we value your presence and participation, and we appreciate your generosity.

Please enter the amount you are paying for your membership/ seat reservations here.

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* 9. Please note the amount you owe for childcare here.

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* 10. Total the membership, seat reservations, and childcare costs, decide how much you can contribute, and type in that amount below. Once you complete the questions on this page you will need to go to a PayPal or Square page to pay.

PLEASE REMEMBER THIS AMOUNT FOR THE PAYPAL/SQUARE DONATION PAGE

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* 11. Please confirm the number of seats you are planning on using for each holiday. Since not all members will be in town for each holiday, this information will help us to obtain an accurate count.

	Number of adult seats
R"H Day 1	R"H Day 1 Number of adult seats menu
R"H Day 2	R"H Day 2 Number of adult seats menu
Erev Y"K Kol Nidre	Erev Y"K Kol Nidre Number of adult seats menu
Y"K Day	Y"K Day Number of adult seats menu

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* 12. Minyan Tehillah is committed to davening in the presence of a quorum, 10 men and 10 women, each time that we meet. In order to ensure that services can continue on time, we need a commitment from as many people as possible to arrive on time for each of our High Holiday services. Please consider coming on time for at least one service and please indicate below how many women and how many men from your family can commit to each service.


Number of women for the first day of RH:	Number of women for the first day of RH: menu
Number of men for the first day of RH:	Number of men for the first day of RH: menu
Number of women for the second day of RH:	Number of women for the second day of RH: menu
Number of men for the second day of RH:	Number of men for the second day of RH: menu
Number of women for YK morning:	Number of women for YK morning: menu
Number of men for YK morning:	Number of men for YK morning: menu
Number of women for Mincha on YK:	Number of women for Mincha on YK: menu
Number of men for Mincha on YK:	Number of men for Mincha on YK: menu

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* 13. Our services are completely lay lead and lay organized. Would you be willing to help prepare for the High Holidays by:

	Yes/No
Purchasing and bringing food/drinks/paper goods for post-Yom Kippur and/or Rosh Hashanah?	Purchasing and bringing food/drinks/paper goods for post-Yom Kippur and/or Rosh Hashanah? Yes/No menu
Putting up signs directing people to the davening location prior to Rosh Hashana/ Yom Kippur?	Putting up signs directing people to the davening location prior to Rosh Hashana/ Yom Kippur? Yes/No menu
Picking up Sefer Torah before Rosh Hashana and returning the Sefer Torah after Yom Kippur?	Picking up Sefer Torah before Rosh Hashana and returning the Sefer Torah after Yom Kippur? Yes/No menu
Collecting food donations around Yom Kippur?	Collecting food donations around Yom Kippur? Yes/No menu
Dropping off/picking up handouts at the printer prior to Rosh Hashanah?	Dropping off/picking up handouts at the printer prior to Rosh Hashanah? Yes/No menu
Setting up for davening on the first and/or second day of Rosh Hashanah?	Setting up for davening on the first and/or second day of Rosh Hashanah? Yes/No menu
Setting up for davening prior to Yom Kippur?	Setting up for davening prior to Yom Kippur? Yes/No menu
Cleaning up after davening on the first and/or second day of Rosh Hashanah?	Cleaning up after davening on the first and/or second day of Rosh Hashanah? Yes/No menu
Cleaning up after davening on Yom Kippur?	Cleaning up after davening on Yom Kippur? Yes/No menu
Setting up, handing out, and cleaning up food on the first and/or second day of Rosh Hashanah?	Setting up, handing out, and cleaning up food on the first and/or second day of Rosh Hashanah? Yes/No menu
Setting up, handing out, and cleaning up food at the end of Yom Kippur?	Setting up, handing out, and cleaning up food at the end of Yom Kippur? Yes/No menu
Purchasing and dropping off potted plants prior to Rosh Hashanah?	Purchasing and dropping off potted plants prior to Rosh Hashanah? Yes/No menu

Other

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* 14. Would you like to host one or more guests at a holiday meal during the High Holidays?

Yes

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* 15. Would you like to host one or more guests at a holiday meal during Sukkot?

Yes

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* 16. In order to offer davening and programming throughout the year, Minyan Tehillah relies on the support of numerous community volunteers. Please tell us in which of the following volunteer tasks you might be interested.

Being an "on-timer" (arriving by 9:35 a.m. once a month)

Kiddush purchasing (will be reimbursed)

Kiddush setup

Kiddush cleanup

Schlepping

Holiday or social event coordination

Coordinating meal programming (small dinners, lunch and learns, potlucks)

Reading Torah/Haftorah/megillot

Leading services

Giving divrei Torah/halacha

Childcare help

Hospitality support

Assistance with one time programming

Assistance with family/child programming

Helping with chessed (such as coordinating meals for families with new babies)

I am unable to help.

Other (please specify)

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* 17. If you are not currently receiving Minyan Tehillah's weekly emails and would like to be added to the email list, please check here.

Please add me to the Minyan Tehillah email list.

Once again, please note your total dollar amount in question #10 before continuing on to a donation page.
If you are able to pay with a debit card, please use this Square link to pay.

https://cash.me/$minyantehillah/

Please note on the payment page that your payment is for membership. Using Square will save our minyan money.
If you would prefer to use Paypal, please use this link to pay.

https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=T2Y4TQ6QYJNFN

As links don't automatically redirect in this survey, please copy and paste either link above directly into your browser. Thank you!

Question Title

* 1. Please enter your personal contact information below. Section #2 will ask for information about other members of your household, if applicable.

Question Title

* 2. Household information (please fill out based on persons who live with you as applicable):

Question Title

* 3. Will you be joining us all year, or just for the High Holidays?

Question Title

* 4. If you would like to be included in the Minyan Tehillah directory, please write your information in this Google doc: https://docs.google.com/spreadsheets/d/1iJUp37PzjdT5Hs1sMbWk4PDzt5g7Gb2eLUM8HQMpGB4/edit?usp=sharing

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* 6. If you do NOT want to become a member, but would like to attend High Holiday services, please choose one of the following options:

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* 9. Please note the amount you owe for childcare here.

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* 11. Please confirm the number of seats you are planning on using for each holiday. Since not all members will be in town for each holiday, this information will help us to obtain an accurate count.

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* 13. Our services are completely lay lead and lay organized. Would you be willing to help prepare for the High Holidays by:

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* 14. Would you like to host one or more guests at a holiday meal during the High Holidays?

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* 15. Would you like to host one or more guests at a holiday meal during Sukkot?

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* 16. In order to offer davening and programming throughout the year, Minyan Tehillah relies on the support of numerous community volunteers. Please tell us in which of the following volunteer tasks you might be interested.

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* 17. If you are not currently receiving Minyan Tehillah's weekly emails and would like to be added to the email list, please check here.

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* 18. Feel free to add any additional comments or questions here. Shana tova u'metuka!