Please call upon us whenever we can assist you in becoming part of our Darchei Noam community. Please call our text or call Nancy in the office at (267) 405-1582 if you have any questions or need assistance in filling out this application. All information in this application will be treated confidentially. BEFORE YOU BEGIN, please ensure you have a credit card or bank account information available, and set aside at least 15-20 minutes uninterrupted to complete the entire form at one time.
Voluntary Community Support Darchei Noam offers 3 types of memberships - 1. Primary Membership - in-person & virtual access 2. Virtual Membership - for those too far to attend in-person, online/Zoom access only 3. Secondary Membership - for members of another synagogue who want to support and participate with Darchei Noam
BE A SUSTAINER! Please consider becoming a Sustaining Member of Darchei Noam. It costs the synagogue approximately $1100 per adult (26 & older) to run Darchei Noam at its most minimal effectiveness. To ensure we can keep this vibrant community alive, this year, we highly encourage as many members to be Sustainers!
Remember - no amount you would like to contribute is too much!! Individual Membership = 1 adult Sustainer Levels - helps us cover the costs of security, maintenance, synagogue activities, salaries, High Holy Days, and general operating expenses.
$1100/adult ($92/month) $2200/family ($183/month)
Community Builder Membership - full membership plus a donation to support our synagogue and congregants
$5000/family ($417/month)
Chesed Chevra Membership - full membership plus a donation to the synagogue to help support scholarships for membership & school
$3600/family ($300/month)
Virtual Only Membership
$800/adult ($66.70/month) $1600/family (133.34/month)
Secondary Membership
$500/adult ($41.67/month) $1000/family (83.33/month)
Questions about membership?
PLEASE START HERE Please Note: This form allows members to
Join the Darchei Noam Community Register for Shul School/Teen Chayim Register for 5786 High Holy Days - Rosh Hashanah and Yom Kippur (if you are joining before Yom Kippur ends) Make additional donations where appropriate
All items in this form marked "REQUIRED" must be completed before moving to the payment screen. CHOOSE FROM THE DROPDOWN SELECTION BELOW: * STARTING HERE - Today I am going to: (choose from the dropdown) Please Select One JOIN (AGAIN) - I was a member years ago and I am returning JOIN FOR THE FIRST TIME REQUIRED
MEMBERSHIP
Enter the amount you wish to contribute to Darchei Noam for your 5786 membership. Membership runs from July 1, 2025 to June 30, 2026.
Tax-deductible contributions can be divided into equal monthly installments, ending by June 30, 2026. For example, if you join in July, you can choose 12 payments starting in July and ending in June. If you join in November 2025, you can break your payments into 2-7 installments to ensure full payment by June 2026.
Please choose the total amount you wish to contribute this year from the dropdown below:
* Select your amount here:Please Select One Community Builder Membership ($5000) Chesed Chevra Membership ($3600) Sustaining Membership - 1 Adult ($1100) Sustaining Membership - Family ($2200) OTHER $ Amount REQUIRED
REQUIRED - ADULTS * ADULT MEMBERSHIP - How many adults are joining this account (up to 2)?
REQUIRED - CHILDREN
ADULT MEMBER INFORMATION
State --Select State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Adult 1 (&2)
Gender N/A or Unknown Male Female Adult 1
Gender N/A or Unknown Male Female Adult 2
Community Involvement Adult 1 Please indicate any areas of talent/interest in joining by checking the appropriate box(es).
Community Involvement Adult 2 Please indicate any areas of talent/interest in joining by checking the appropriate box(es).
Special Talents Adult 1
Special Talents Adult 2
SERVICE GREETER (USHER) - Adult 1
Would Adult #1 be willing to serve as a greeter or usher at a Shabbat or High Holy Day service?
Our staff or volunteers will be in touch regarding available services & dates.
SERVICE GREETER (USHER) - Adult 2
Would Adult #2 be willing to serve as a greeter or usher at a Shabbat or High Holy Day service?
Our staff or volunteers will be in touch regarding available services & dates.
CHILDREN Do you need to add more than 4 children to your member account? If you are joining with 5 or more children, please add the 5th+ childrens' information in the box above. (Name, Hebrew name, bday, pronouns, and gender)
MADRICHIM PROGRAM Madrichim program is a voluntary program for 8th-12th graders at Darchei Noam. It is a leadership and mentorship initiative where our teen assistants support younger students (Mini Mensch to 6th grade) in our Shul School on Sunday from 9am-12pm. These teens, known as madrichim (Hebrew for "guides" or "leaders"), help our teachers with classroom activities, provide individualized attention to students, and develop valuable teaching and leadership skills. Our program offers training during Shul School hours to equip our madrichim with strategies for engaging students, fostering inclusion, and assisting learners with diverse needs.
Are any of your teenage children (8th-12th) interested in being in the Sunday Madrichim Program? Please add the name of your teens above that are interested in this voluntary program.
YAHRZEIT INFORMATION
A yahrzeit marks a loved one's passing in the Hebrew calendar. Observances may include lighting a candle, reciting Kaddish with a minyan, giving Tzedakah, and visiting the gravesite.
Please add the 4 items of yahrzeit information for each person in the box below: (information needed is below this box) PLEASE INCLUDE ALL 4 ITEMS BELOW:
Name of deceased
Gregorian date of death mm/dd/yyyy (year is required)
Relationship to congregant
Please advise if the passing was before of after sunset (affects the Hebrew date)
(our system will convert the Gregorian date to Hebrew)
Unless noted, we will advise you of the yahrzeit each year on the deceased person's Hebrew date
Memorial Board Plaques Memorial Plaques ($360 each) honor loved ones at Darchei Noam. Displayed in the sanctuary, they include a memorial light lit on Yom Kippur and your loved one's Yahrzeit.
Select the number of plaques you wish to purchase today from the dropdown—$360 per plaque will be added to your total. We will follow up upon receipt. If you rather not purchase today, please leave the number on "0".
For details, contact Gloria Katz (gloria@darcheipa.org) or the Darchei Noam office.
Turnaround time from purchase: 4-6 weeks (typical), 8-12 weeks before High Holy Days and Yizkor.
Memorial Board Plaque 0 1 2 3 4 5 6 7 8 9 10 Please choose only the number of plaques ($360 per plaque) you wish to PAY FOR today.
HIGH HOLY DAYS - ROSH HASHANAH & YOM KIPPUR
HIGH HOLY DAY SEATS
High Holy Day seats will be available for each adult and child on your account. All services are open to Darchei Noam members. Due to space limitations in the sanctuary, seating will be first-come, first-serve. We will utilize the lobby space for overflow. All members are invited to attend virtually, as well.Non-member seats (and virtual services) are available for the following services: Tot Service (both RH & YK), L'dor Vador Family Services (RH & YK), Tashlich, RH Day 2 Contemplative Service and YK Neilah/Ma'ariv/Havdalah. The following is the 5786 High Holy Day Schedule - ROSH HASHANAH Monday, September 22 (1 Tishrei) - Erev Rosh Hashanah
6pm - Erev Rosh Hashanah Service (Virtual Only)
Tuesday, September 23 - (1 Tishrei) Rosh Hashanah Day 1
9:00am - Tot Shabbat (In-Person)
9:00am - L'dor Vador Family Service (In-Person/Virtual)
10:30am - Torah/Musaf Service Service (In-Person/Virtual)
4:30pm - Tashlich (In-Person Only/Meet at DN)
Wednesday, September 24 - (2 Tishrei) Rosh Hashanah Day 2
10am - Contemplative Service (In-Person/Virtual)
YOM KIPPUR Wednesday, October 1 - (10 Tishrei) Erev Yom Kippur
6:30pm - Kol Nidre (In-Person/Virtual)
Thursday, October 2 - (10 Tishrei) Yom Kippur
9:45am - Tot Yom Kippur Service (in-Person)
9:45am - L'dor Vador Family Service (In-Person/Virtual)
11:00am - Torah/Musaf (In-Person/Virtual)
6:40pm - Ne'ilah (In-Person/Virtual)
7:20pm - Ma'ariv (In-Person/Virtual)
7:30pm - Havdalah/Shofar Blowing (In-Person/Virtual)
To help us plan for the new year, please let us know which services you anticipate attending in-person. We understand that your current plans may not be finalized and may change as we move closer to the holidays. However,answering today allows us to plan accordingly for the High Holy Days. More information regarding the holidays will be forthcoming in a future email correspondence.
High Holiday Attendance
Next to each service, choose the # of seats (in-person only) you will need for each service.
ROSH HASHANAH
0 1 2 3 4 5 6 7 8 9 10 6pm - Erev Rosh Hashanah (virtual only - total # ppl coming)
0 1 2 3 4 5 6 7 8 9 10 9am - Tot Service - RH Day 1 (open to all)
0 1 2 3 4 5 6 7 8 9 10 9am - L'dor Vador - RH Day 1 (open to all)
0 1 2 3 4 5 6 7 8 9 10 10:30am - Torah/Musaf - RH Day 1 (members only)
0 1 2 3 4 5 6 7 8 9 10 4:30pm - Tashlich (open to all - walking may be challenging)
0 1 2 3 4 5 6 7 8 9 10 10am - Contemplative - RH Day 2 (open to all)
YOM KIPPUR
0 1 2 3 4 5 6 7 8 9 10 6:30pm - Kol Nidre (members only)
0 1 2 3 4 5 6 7 8 9 10 9:45am - YK Tot Service (open to all - include children/adults in count)
0 1 2 3 4 5 6 7 8 9 10 9:45am - YK L'dor Vador Family Service (open to all)
0 1 2 3 4 5 6 7 8 9 10 11am - YK Torah/Musaf Service (Yizkor) (members only)
0 1 2 3 4 5 6 7 8 9 10 6:40pm - Neilah, Ma'ariv, Havdalah, & Shofar Blowing (open to all)
5786 Yizkor Book Each year before Yom Kippur, Darchei Noam creates a printed and digital version of the Yizkor book. The Yizkor book is printed once at High Holy Days and used four times per year during the Yizkor Service on Yom Kippur, Passover, Shavuot, and Shemini Atzeret.
Please share the name(s) and yahrzeit date(s) we should include in the 5786 Yizkor Book below:
LEV SHALEM SIDDUR $65/Siddur
Many of our congregants (both adult and children) choose to purchase their own copy of the Lev Shalem Siddur to bring to Shabbat services or use when participating virtually.
A copy of the Lev Shalem prayerbook is required for children enrolling for the first time from 4th grade to their B'nai Mitzvah.
Please choose how many copies of Lev Shalem you would like to purchase (if any).
$65/Mahzor
We also suggest purchasing your own Mahzor (Prayerbook for Rosh Hashanah and Yom Kippur) for High Holy Days. The synagogue has a limited number, so they will be available on a first come - first serve basis.
My family would like to purchase this # of siddurim -
0 1 2 3 4 5 6 7 8 9 10 # of Lev Shalem Prayerbooks to add to my total
0 1 2 3 4 5 6 7 8 9 10 # of Lev Shalem Mahzorim for High Holy Days
SCHOOL ENROLLMENT INFORMATION
SCHOOL FEES
2025-26 Shul School & Teen Chayim Tuition and Fees:
$900 + $60 material fee / Mini Mensch (MM) - 2nd grade$1300 + $60 material fee / 3rd - 6th grade$65 Lev Shalem Siddur fee / 4th grade+ (If you are new to Darchei Noam)$1030 / 7th grade
(B'nai Mitzvah Fees are billed separately. Please reach out to Nancy Bolton, B'nai Mitzvah Coordinator, if you have any questions regarding B'nai Mitzvah -bnaimitzvah@darcheipa.org)
$930 / 8th - 10th grade
Has your student had any changes to Educational Considerations, Diagnoses, or Medical Issues? Student 1
Has your student had any changes to Educational Considerations, Diagnoses, or Medical Issues? Student 2
Has your student had any changes to Educational Considerations, Diagnoses, or Medical Issues? Student 3
Has your student had any changes to Educational Considerations, Diagnoses, or Medical Issues? Student 4
EDUCATIONAL CONSIDERATIONS
In the text box(es) below, please note if your child(ren) receive(s) any education services, such as IEP, Gifted/Talented (GIEP), Adaptive Equipment, Special Education, Outside Tutoring, Physical / Occupational Therapy, One-on-One Aide* (Wrap-Around Services), Behavioral Support, etc.
Please let us know which child you are referring to and their individual educational consideration(s). *Will you have an outside aide present at Darchei Noam?
DIAGNOSES OR ASSESSMENTS
In the text box below, please note if your child(ren) is/are diagnosed as having, or is/are being assessed for any mental or medical diagnosis in which they have been given a 504 Plan or if you anticipate this will impact their learning at Shul School (i.e. ADHD, Autism Spectrum, Speech/Language Disability, Emotional/Behavioral, etc.) Medical or Behavioral Health Diagnosis/Assessment Student 1
Medical or Behavioral Health Diagnosis/Assessment Student 2
Medical or Behavioral Health Diagnosis/Assessment Student 3
Medical or Behavioral Health Diagnosis/Assessment Student 4
Please enter any additional information regarding medical conditions (such as any ongoing medications that may affect performance, conditions that could require a medical emergency response, and/or epipen) Student 1
Please enter any additional information regarding medical conditions (such as any ongoing medications that may affect performance, conditions that could require a medical emergency response, and/or epipen) Student 2
Please enter any additional information regarding medical conditions (such as any ongoing medications that may affect performance, conditions that could require a medical emergency response, and/or epipen) Student 3
Please enter any additional information regarding medical conditions (such as any ongoing medications that may affect performance, conditions that could require a medical emergency response, and/or epipen) Student 4
If you have more than 4 children to enroll in school, please add the information for each child over 4 into the box below.
SCHOOL DISCLAIMER
If we or our emergency contact(s) cannot be reached in the event of a medical emergency, we hereby give permission to the physician or hospital selected by the school or its selected representative, to hospitalize and/or secure proper treatment for our child(ren) named above. We understand that any costs incurred will be our responsibility.
EMERGENCY CONTACT INFORMATION
Please list two people that we may contact in the event we are unable to reach a parent in an emergency.
Names of other individuals approved (or not approved) to pick up your child(ren) from school Please add names and relationship to child in the box.
Pictures of our members and member's children (particularly during Shul School, Teen Chayim and child/family events) happen during the year by our staff and volunteers for multiple purposes for both internal and external communications/marketing. This can include Darchei Noam marketing materials/brochures, newsletters, synagogue website, social media (Facebook, Instagram, YouTube, etc), newspaper articles, Exponent advertisements and/or educational materials.
Please indicate if we have permission for members of your family t o be in pictures and videos. Please note that this choice will remain in place 2025 and beyond until we receive a change in writing.
*disclaimer: identification of individuals in photos is done manually. If you decline permission, but see a photo of you or your child, please contact the Communications & Marketing Director asap so it can be removed.
If you choose NO, please upload a picture or send a picture of your family to our Communications Director, Nancy Bolton, so that we can identify your faces and remove you from photos/videos.
PEANUT & TREE NUT AWARENESS POLICY
We have a number of congregants (members and students) who suffer from severe peanut/nut allergies. Even trace amounts of a problem food can cause a life-threatening allergic reaction.
Please help us maintain a safe community by keeping all peanuts/nuts and peanuts/nuts products out of the synagogue and school (peanuts, walnuts, almonds and all other tree nuts). Even those foods labeled with “may contain" or "traces of" in the list of ingredients can be harmful. We appreciate your assistance in making the school safe for every student.
While we strive to be a peanut/nut aware facility, we cannot guarantee that you or your child will not come into contact with products containing peanuts/nuts. Every reasonable effort will be made to provide a peanut/nut aware environment at Darchei Noam. Our staff cannot be held responsible. The ultimate responsibility lies with the members, parents and students to ensure their safety. It is therefore important that if you or your child has serious allergies, inform us upon registration, and provide any necessary instructions and an EpiPen.
ADDITIONAL DONATIONS TO DARCHEI NOAM FUNDS
If you wish to make an additional voluntary dedicated donation to any of our Darchei Noam funds (outside of your Voluntary Community Contributions for membership), please enter any amount into the box under the name of that fund. Thank you for your generous support! Any amount is extremely appreciated.
* Would you like to view the various funds available and consider an additional donation?Please Select One Yes No REQUIRED - choose from dropdown menu
Payment & Billing Information
On the next page, you will be presented with payment options. Please review the following carefully: DEPOSIT REQUIREMENTS :
The first payment of your total balance (membership, tuition and donations) is required to join the synagogue and/or register for school. This first payment must be made via credit card (3% Transaction Fee) or ACH/e-check (1% Transaction Fee)
(example - If you choose to pay in 4 installments, installment 1 will be due upon submission and your remaining installments will be scheduled for future payment)
Accepted Payment Methods :
Credit Card (3% transaction fee)ACH/E-Check (1% transaction fee)Check, Venmo, IRA or Stock/Securities
STEPS FOR PAYMENT: Credit Card/Installment Payment Options : If paying by credit card or e-check, you may choose to:
Add a New Credit Card or ACH/E-Check. Pay the full amount in one payment, or Split your balance into 2 to 12 monthly payments (selectable on the next page). Installment #1 will be paid automatically upon submission as the first deposit. Click Confirm & Continue NOTE: You must have an installment plan in place on a credit card or e-check if you are enrolling your child in school
Check, Venmo, IRA, or Stock Payment Option (for additional payments only)
On the payment page, follow the directions to pay by Credit Card or ACH/E-Check.(your first payment will be due upon submission) Then, email emily@darcheipa.org to cancel your remaining installments and arrange your alternate payment method. (Note: You MUST have an installment plan in place if you are enrolling your children in school.)
CREDIT CARD (ON FILE) REQUIREMENTS:
Regardless of your chosen payment method, you are required to keep a valid credit card on file at all times . By completing this form, you authorize Darchei Noam to charge this card for any missed or overdue payments. Account Updates : If your credit card or bank information changes during the year, per this agreement, you agree to update Darchei Noam immediately to avoid missed payments.Accuracy of Information : By submitting this form, you affirm that all information provided in the entire form is accurate and up to date to the best of your knowledge.
CREDIT CARD ON FILE
Additional Comments, Questions or Information
PLANNED GIVING
TOTAL AMOUNT TO BE PAID AND/OR DIVIDED To be paid in full by June 30, 2026
Please click the button below to be taken to the payment screen. If an error box pops up, please review the entire form and ensure that any field marked required with a small red star is filled out. Once completed in full, return here and click submit.
