Shul Membership Enrollment Form - New Members

Welcome to The Shul at Aish of the Rockies! We're delighted you're joining our community.
This form is for new members only. If you are renewing your membership, please visit Shul Membership Renewal Form

In this form, we'll collect your contact and household information, along with your membership contribution details -- including membership plan, payment method and frequency, billing address and details. If you have any questions, feel free to contact our Business Office at 303-220-7200 or office@aishrockies.org. We're here to help!

Your Contact Information

Prefix (Mr., Mrs., Ms., Dr., etc.)

First Name *

Last Name *

Email *

Gender

Date of Birth

Address Line 1 *

Address Line 2

Phone *

City *

State *

State/Province

Zip *

Postal Code

Country / Region

Spouse/Partner Information

Spouse/Partner Prefix

Spouse/Partner First Name The maximum length for the field Spouse/Partner First Name is 500 characters.

Spouse/Partner Last Name The maximum length for the field Spouse/Partner Last Name is 500 characters.

Phone Number The maximum length for the field Phone Number is 500 characters.

Email Address The field Email Address must be an email.

Date of Birth The field Date of Birth must be a date.

Anniversary Date The field Anniversary Date must be a date.

Spouse has same address as you?

Membership Plan

Thank you for your support!
Please select your membership plan below.

Important Note:
Premier and Diamond Membership Plans are eligible to receive the CCCC tax benefit for the portion of their contribution that exceeds the Standard Membership rate. Standard Membership Plans are not eligible for the Colorado Child Care Contribution Credit (CCCC).

Membership Levels

Eruv Support

The MB Glassman Southeast Community Eruv

After years of dedicated work, Aish of the Rockies proudly established Southeast Denver's first and only Eruv. Checked every week by a trusted rabbinic authority, it ensures everyone within its boundaires can fully enjoy and honor Shabbos. This Eruv is a vital part of our community's spiritual life, and your support helps keep it strong. Please consider making a gift of $100 to help maintain this vital mitzvah.

I would like to support the Eruv! * The field I would like to support the Eruv! is required.

Additional Donation The field Additional Donation must be a number.

Payment Frequency

Please select the payment frequency that works best for you:
You may choose a one-time full payment or monthly payments.

Your credit card will not be charged today; your payment information will be used once your membership is recorded in our database.

How many installments? * The field How many installments? is required.

Your Payment Method

Pay By Check

Your Billing Information

My billing information is the same as my contact information.

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

State *

State/Province

Zip *

Country / Region

Your Payment Information

Credit Card Number *

CVV Number * What is this?

Credit Card Type *

Expiration Month *

Expiration Year *