Please Select OneIndividual Membership (single adult without children)Family Membership (married or partnered couples living together with or without children, or single adult with children)Full-Time Student MembershipOut-of-Town Membership (anyone living outside the New York metropolitan area, does NOT include High Holiday tickets)

* First Name (1st Adult)

* Last Name (1st Adult)

* E-mail Address

Note: you will receive an automatic confirmation at this email address after successfully completing this form

First Name (2nd Adult)

Last Name (2nd Adult)

If you have children age 25 and under who are part of your family membership, please select the number and fill out the info for them below.

* Child's First Name

* Child's Last Name

* Child's birth date

Child's School (if in school)

* Child's Grade

Membership Dues

Please select below whether you will pay your Membership Dues online by credit card or by mailing a check (including payment via charitable foundation).

Note: Payment by check earns a slight discount. See our full Fair Share Dues chart for details.

* Individual Membership Dues (by Check)

* Individual Membership Dues (by Credit Card)

* Family Membership Dues (by Check)

* Family Membership Dues (by Credit Card)

* Full-Time Student Membership Dues by Check

Please Select One$150

* Full-Time Student Membership Dues by Credit Card

Please Select One$155

* Out-of-Town Membership by Check

Please Select One$250

* Out-of-Town Membership by Credit Card

Please Select One$260

* If you would like to pay a dues amount not listed above, please select "Other Amount" in the Membership Dues Field above, and indicate what your dues pledge will be here

If paying less than $700 for an individual or $770 for a family membership, please contact Executive Director Amy Shapiro-Kessler or Rabbi Jeremy Kalmanofsky to discuss privately.

* If you would like to pay a dues amount not listed above, please select "Other Amount" in the Membership Dues Field above, and indicate what your dues pledge will be here

If paying less than $700 for an individual or $770 for a family membership, please contact Executive Director Amy Shapiro-Kessler or Rabbi Jeremy Kalmanofsky to discuss privately.

* All membership dues pledges $1000 and higher are subject to a mandatory additional $180 Security Fee

Please Select OneMy membership dues pledge is $1,000 or higher, and I will pay the Security FeeMy membership dues pledge is lower than $1,000, so I am not subject to the Security Fee

* All membership dues pledges $1000 and higher are subject to a mandatory additional $180 Security Fee

Please Select OneMy membership dues pledge is $1,000 or higher, and I will pay the Security FeeMy membership dues pledge is lower than $1,000, so I am not subject to the Security Fee

$180 Security Fee - Mandatory for Dues Pledges $1000+

$180 Security Fee - Mandatory for Dues Pledges $1000+If your Dues Pledge is $1,000 or above, please check this box to confirm your payment of the mandatory $180 Security Fee. If left unchecked on a qualifying pledge, the amount will be charged to your account for later payment.

$180 Security Fee - Mandatory for Dues Pledges $1000+

Minyan Selection

Ansche Chesed has a rich history that lives on through its multiple prayer groups, or minyanim, each of which is an integral part of the wider AC community. Learn more about the Sanctuary, Minyan M'at, the West Side Minyan, and Minyan Rimonim. While everyone is welcome to pray with any of our prayer groups, Minyan M’at and the West Side Minyan ask regular participants to pay a modest membership fee in addition to their AC Membership Dues.

Please indicate below whether you are also a member of either of these minyanim, or just a member of the Sanctuary.

* Please select whether you are only a member of the Sanctuary, or if you are also a member of either Minyan M'at or the West Side Minyan

Please select whether you are only a member of the Sanctuary, or if you are also a member of either Minyan M'at or the West Side Minyan

* Please select whether you are only a member of the Sanctuary, or if you are also a member of either Minyan M'at or the West Side Minyan

$125 per Adult (age 25 and above)

$25 per Child (under age 25)

* I acknowledge my responsibility to provide kiddush at Minyan M'at at least once during the year. I am committed to finding a substitute if I cannot attend the week of my kiddush assignment.

I acknowledge my responsibility to provide kiddush at Minyan M'at at least once during the year. I am committed to finding a substitute if I cannot attend the week of my kiddush assignment.

$125 per Adult (age 25 and above)

$25 per Child (under age 25)

* I acknowledge my responsibility to provide kiddush at Minyan M'at at least once during the year. I am committed to finding a substitute if I cannot attend the week of my kiddush assignment.

I acknowledge my responsibility to provide kiddush at Minyan M'at at least once during the year. I am committed to finding a substitute if I cannot attend the week of my kiddush assignment.

If you live outside of New York City and want to remain a member of Minyan M'at, please contact the Troika.

The West Side Minyan's membership dues are paid separately through the Minyan's website.

High Holiday Tickets

While High Holiday tickets are not included with an Out of Town Membership, you are welcome to purchase tickets to our services at the member price.

Sanctuary High Holiday Tickets ($250 each)

High Holiday Tickets

AC will once again hold in-person services for the High Holidays, with assigned seats in the Sanctuary. Services are planned to be full capacity and unmasked, subject to change as conditions require.

If you plan to attend High Holiday services in the Sanctuary, please proceed with your ticket selection below.

The Sanctuary is sold out of assigned seats, so we are now assigning overflow tickets. An overflow ticket will grant you entry to the Sanctuary and entitle you to sit in any open seat. But, if the original seat holder shows up, you will need to move to another open seat.

If you plan to attend with a different minyan, please select that you will not attend on this form and email Administrative Director Martin Sivorinovsky to arrange your tickets separately.

Your Individual Membership entitles you to one include High Holiday ticket.

Additional tickets are available for $250 each.

* Do you plan to attend our in-person High Holiday services?

Your Family Membership includes one High Holiday ticket per adult, as well as one for each child or other dependent between the ages of six and 25. Tickets are not needed for children and other dependents under the age of six, and must be purchased for those 26 and older.

Additional tickets are available for $250 each.

* Do you plan to attend our in-person High Holiday services?

* Please select ONLY the number of tickets you are requesting that are included in your membership. Additional tickets beyond those included may be purchased below.

Your Full-Time Student Membership includes one High Holiday ticket. Additional tickets are available for $250 each.

* Do you plan to attend our in-person High Holiday services?

Additional Sanctuary High Holiday Tickets ($250 each)

Stay tuned for info and a link for our virtual High Holiday services.

If you will attend High Holiday services with Minyan M'at (Hirsch Hall), please proceed with your ticket selection below.

If you plan to attend with a different minyan, please select that you will not attend on this form and email Administrative Director Martin Sivorinovsky to arrange your tickets separately.

* Do you plan to attend in-person High Holiday services?

* Please select ONLY the number of tickets you are requesting that are included in your membership. Additional tickets beyond those included may be purchased below.

Additional Minyan M'at High Holiday Tickets ($250 each)

If you will attend High Holiday services with the West Side Minyan (5th Floor), please proceed with your ticket selection below.

If you plan to attend with a different minyan, please select that you will not attend on this form and email Administrative Director Martin Sivorinovsky to arrange your tickets separately.

* Do you plan to attend in-person High Holiday services?

* Number of West Side Minyan High Holiday Service Tickets Needed (Included in Membership)

Additional West Side Minyan High Holiday Tickets (available free of charge)

Sanctuary Services have assigned seats on the 1st day of Rosh Hashanah and on Yom Kippur. Services on the 2nd day of Rosh Hashanah are open seating. Please indicate your seating preferences below.

* Sanctuary High Holiday Service Seating Assignment

Please Select OneI/We would like the same assigned seats as last year (2023) and understand that, to be honored, this request must be received by August 21.This is my/our first time attending with assigned seats OR I/we would like different assigned seats than last year (2023)

* Please select which level of the Sanctuary you would like to sit in

Note that while we will try to honor your location preferences, we cannot guarantee that we can fulfill any location requests

* Please select which area of the Sanctuary Main Level you would prefer to sit in

See a diagram of our Sanctuary seating arrangement by clicking here. Note: we cannot guarantee that we will be able to accommodate your preference.

* Please select which area of the Sanctuary Balcony you would prefer to sit in

See a diagram of our Sanctuary seating arrangement by clicking here. Note: we cannot guarantee that we will be able to accommodate your preference.

Please note any special accommodations needed (main level, aisle seat, etc), or anything else we should know

Connect with Ansche Chesed

In the coming year, we hope to find new and deeper pathways to create connections within our community. How would you like to engage more deeply (e.g., social gatherings, classes, projects, events) and with whom (affinity groups, particular demographic, etc.)? Please be as specific as possible.

Would you be interested in a follow up conversation about your engagement and creating connections?

Please Select OneYesNo

I would like to make an additional contribution towards...

Amount

Please include any additional information you want us to know about your membership.

Please note the combined total of your membership dues pledge, security fee (if applicable), additional Minyan memberships, and additional High Holiday tickets for your records, and click "Submit" below when ready.

Membership Renewal 2024-2025

Membership Type

Member Info

Membership Dues

Minyan Selection

High Holiday Tickets

High Holiday Tickets

Connect with Ansche Chesed