MembershipForm

Application For Membership

Please complete the application form in full. If you have any questions please contact the office on 020 8886 0977 or send an email to membership@sps.uk.com and we will get back to you as soon as possible.

Application Type

Please check which is most appropriate:

List

Adults

If there is more than one adult in the family click "+Add Another" when you have completed this section.

Your name*

Your name *

Title

First name

Middle name

Last name

Informal first name (if different)

We will use this name on letters and emails to you (for example, Mike rather than Michael)

Hebrew name (if known)

Gender

Date of birth *

Email address

Mobile phone

Occupation

Former Occupation (if retired)

Work phone

Funeral preference

Burial

Cremation

No preference

In Case Of Emergency (ICE)

Please provide the name and contact details of the person we should contact in case of an emergency.

ICE: Name

ICE: Relationship

ICE: Phone

ICE: Email

To add another adult, please click 'Add another' below:

+ Add another

Children under 21

If there are children under 21 in your family please add their details in this section.

Child'd name

Persons name

First name

Middle name

Last name

Known as (if different)

Hebrew name (if known)

Gender

Date of birth

+ Add another

Religion & Jewish School

Religion school student

If you would like your children to attend our religion school, please check this box.

Jewish school student

Jewish school name

Family Information

Persons address *

Please complete 'Address line 1' with your street name; 'Address line 2' with your local area (if applicable).

'Address line 3' and 'Address line 4' can be left blank.

House name or number

Address line 1

Address line 2

Address line 3

Address line 4

City

County

Postcode

Home phone

Previous synagogue affiliation(s) with approx dates

Members related to you

Marital Information

Marital status

If married:

Current marriage synagogue or venue

HH Wedding Date

Office Note: HH=HouseHold

Previous marriage synagogue or venue

Previous wedding date

If parental marriage information is required, parent 1 relates to the first adult entered on this form and parent 2 relates to the second adult.

Parents (1) marriage synagogue or venue (if applicable)

Parents (1) wedding date (if applicable)

Parents (2) marriage synagogue or venue (if applicable)

Parents(2) wedding date (if applicable)

Conversion date (if applicable):

Name of non-member partner/spouse (if applicable)

Membership documents

Membership Fees

Please contact the membership secretary on 020 8360 1319 or email: membership@sps.uk.com for confirmation of current subscription rates and any other initial payments required on joining. Once your application to join has been approved, an invoice will be sent to you for payment.

In addition to your basic subscription, your initial payment might include (if appropriate) for:

Premium (over 55 years old)
Siddur/s (prayer book/s)
Machzor/s (High Holy Day prayer book/s)
Religion School (Ruach) Fees

On joining, if you are paying by Direct Debit, you will need to complete a Direct Debit form. If you are a tax payer and eligible to make a donation eligible for gift aid please complete the Gift Aid Declaration. These can be accessed via the links below.
.

Gift Aid Declaration

Click on the link to complete and submit the Gift Aid declaration then return here tocomplete the membership form.

Gift Aid Declation

Direct Debit form

Click the link to complete and submit the Direct Debit form and then return here to complete and submit the membership form.

Direct Debit form

Keeping in Touch

We want to keep you informed about everything that takes place in the synagogue community. Please tick the ways in which we can contact you.

Contact in any way

Telephone

Text

Post

Other Information

No. of High Holy Day tickets

Let us know how many tickets you need for the High Holy Day services.

How were you introduced to SPS?

Person's Name

For further information such as the names of the SPS member that you know or are related to.

LJ synagogue providing funeral rights (if applicable)

If another Liberal Judaism synagogue is providing you with funeral rights, please give the name of the Synagogue here.

Is there anything else that you need to tell us that is not covered by the above.

Security

We take security at SPS seriously and have a committee that considers all aspects of the safety of the site and the congregation. In addition to an experienced paid guard, we have a members security rota. Please indicate your preference (you can tick more than one):

Security Rota

Your involvement with the community

A successful community depends on the participation of its members. Participation also leads to social interaction and getting to know your fellow congregants and making new friends. We would be delighted to welcome you on board any of the following committees, groups and/or rotas:

Please indicate below any areas of particular interest. Any other suggestions or comments are also welcome!

Volunteering Interests

We are always in need of volunteers. Please indicate how you might be able to help here. Please refer to our web page for ideas:

Other suggestions or comments

Expertise

If you have a particular skill or expertise that the community might find useful, please give details here, eg first aid skills.

Gift Aid Declaration

Gift Aid is reclaimed by the synagogue from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer.

In order to Gift Aid your donation you must tick the box below.

Please Gift Aid my donation

I want to Gift Aid all donations I make in the future or have made in the past 4 years to Southgate Progressive Synagogue. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference.

Confirmation of declaration

YOUR NAME (Please print)

Please print your name in the box.

Signature

We need a signature, so please print sign and return this Gift Aid section of the form (between the lines) or the whole form if easier and return it to the office along with the completed direct debit form.

Your email address

Please print your email address

You must notify the charity if you want to cancel this declaration, change your name or home address, or no longer pay sufficient tax on your income and/or capital gains. If you pay income tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

If you cannot complete the Gift Aid declaration please indicate this below instead.

I regret that I/we cannot sign a Gift Aid declaration because I do not pay any tax on income, a pension, building society interest or any other investments. (Note - you probably don't complete a self-assessment tax return in any case; for most people income tax in deducted at source from your employment, pension or investment income.)

I cannot sign the Gift Aid declaration.

Declaration

I/We, being of the Jewish faith, wish to become a member/members of Southgate Progressive Synagogue (SPS) in accordance with the provisions of the Constitution, a copy of which I/We acknowledge. I/We agree to pay the annual subscription and such other dues as shall be fixed by SPS from time to time.

I/We also acknowledge receipt and accept the rules of the Burial and Cremation scheme.
(Please ignore if existing burial/cremation/funeral rights are being retained by a member/members transferring from another LJ Synagogue.)

Tick box *

Tick the box to confirm that you have read and agreed to the above.

Before 'submitting' this form, please print, sign where indicated in the Gift Aid section and return it to the office along with the completed direct debit form. If you wish a further copy for your records, please also do this before pressing 'Submit'

Date of Application for membership *

Southgate Progressive Synagogue Privacy Policy

Southgate Progressive Synagogue (SPS) is committed to safeguarding the privacy of our members while providing the highest possible quality of service. Under the terms of the Data Protection legislation (GDPR), we are required to explain to you how we treat any personal data we collect from you.

We take seriously our duty to protect any personal information we obtain. As a constituent member of Liberal Judaism, SPS may from to time share contact information with them. We do not pass on your details to any other third party unless you give us permission to do so.

We are committed to ensuring that your information is secure. In order to prevent unauthorized access to personal data we have put in place suitable physical and electronic procedures to safeguard and secure personal information.

In certain cases, we use your email address to send you information on services and events held at SPS or elsewhere that may be of interest to you, in which case you will be offered the option to opt in or opt out.

Whilst the SPS Council are ultimately responsible for ensuring that adequate data protection systems are in place, individual members of staff and volunteers are also responsible for ensuring the handling of all personal data in compliance with those procedures and the law.

Please contact us if your personal circumstances change or if you believe that any information we are holding about you is incorrect, incomplete, or out of date.

You are entitled to request details of personal information that we hold about you. We may charge a small administration fee for providing details. Should you wish to request a copy of your personal information, please write to our Honorary Secretary or Office Manager at Southgate Progressive Synagogue, 75 Chase Road, Southgate, London, N14 4QY.