Become a member

Invitation to Membership/Partnership

We would like to welcome you to our Jewish Center. Tucked in between the ‘Miami Design District’ and the ‘Wynwood Arts District’, Chabad at Midtown serves as a Spiritual oasis for many who live and work in this vibrant neighborhood.

We are a "Jewish Space" where young dynamic people meet and connect in a place to reconnect to your soul and spirit.

Whether you would like to join us for Shabbat Services, Holiday celebrations, women’s group or Judaism classes we trust that you will enjoy our special, inclusive environment where everyone feels comfortable and welcome!

We invite you to join us as a member and look forward to sharing many meaningful experiences together.

Please feel free to contact us at 305-573-9995 should you need assistance filling out this form or for more information.

"Happy are those who dwell in your home."

Salutation*

MsMrsMr

Full Name*

First Name Last Name

Hebrew name

Father's Hebrew name

Mother's Hebrew name

Occupation*

Birth Date*

Month Day Year

Jewish by:

BirthConverted

Check one:

CohenLeviIsrael

Salutation

MrMrs

Full Name

First Name Last Name

Hebrew name

Father's Hebrew Name

Mother's Hebrew Name

Occupation

Birth Date

Month Day Year

Jewish by:

BirthConverted

Check one:

CohenLeviIsrael

Address* Please indicate your apartment/unit number if applicable.

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone

Work Phone

Messaging Opt-in

I agree to receive texts for general communication, updates, and fundraising campaigns from Chabad at Midtown at the phone number provided above. I understand data rates may apply. Text STOP to Opt-out.

Work Fax

Primary email*

Other email

I would like to receive news and updates by email

Marital Status

SingleMarriedDivorcedWidowed

Anniversary Date

Month Day Year

If Divorced: If divorced, do you have a Jewish "Get"?

YesNo

For how many? up to 6 children

Child 1 Full Name*

First Name Last Name

Child 1 Birth Date

Month Day Year

Child 2 Full Name*

First Name Last Name

Child 2 Birth Date

Month Day Year

Child 3 Full Name*

First Name Last Name

Child 3 Birth Date

Month Day Year

Child 4 Full Name*

First Name Last Name

Child 4 Birth Date

Month Day Year

Child 5 Full Name*

First Name Last Name

Child 5 Birth Date

Month Day Year

Child 6 Full Name

First Name Last Name

Child 6 Birth Date

Month Day Year

Are any children adopted?

YesNo

Please give details, including any conversion info:

For how many? up to 6

Full Name - 1*

First Name Last Name

Date of passing*

Month Day Year

Time of passing

Hour Minutes

Relationship*

Full Name - 2*

First Name Last Name

Date of passing*

Month Day Year

Time of passing

Hour Minutes

Relationship*

Full Name - 3*

First Name Last Name

Date of passing*

Month Day Year

Time of passing

Hour Minutes

Relationship*

Full Name - 4*

First Name Last Name

Date of passing*

Month Day Year

Time of passing

Hour Minutes

Relationship*

Full Name - 5*

First Name Last Name

Date of passing*

Month Day Year

Time of passing

Hour Minutes

Relationship*

Full Name - 6*

First Name Last Name

Date of passing*

Month Day Year

Time of passing

Hour Minutes

Relationship*

Family: $1200 ~ Single: $750*

*All contributions are tax deductible and can be paid throughout the year. No one is turned away for lack of funds. If you cannot afford the full amount requested, contact the Rabbi for a confidential arrangement.

Type of Membership*

Family $1200Single $750

Payment Options*

Total

$0.00

Payment method*

Credit cardCheck (ACH)Zelle (Please send to [email protected])Venmo (Please send to @MidtownChabad)

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Account Name*

Bank Name*

Routing Number*

Account Number*

Account Type*

Section I. Your information

Section II. Spouse's information

Section III. Personal Information

Section IV. Children

Section V. Yahrzeit

Section VI. Membership Contributions - Annual

Synagogue Services

Adult Education

Youth Programs

Chabad Young Professionals

Women's Events

Community Services