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*2019 Membership Application

Kol Yisrael welcomes you to our community. Please call (111) 234-5678 if you have any questions or need assistance with this form.

Adult Member 1

* Title

Other

* Full Name

* Date of Birth

Cell Phone

Email Address

Occupation

Company Name

Business Phone

Business Email

Religion

Hebrew Name

Do you read Hebrew?

Adult Member 2

Title

Other

Full Name

Date of Birth

Cell Phone

Email Address

Occupation

Company Name

Business Phone

Business Email

Religion

Hebrew Name

Do you read Hebrew?

Family Information

* Family Address

Street Address

* City/State/Zip

* Home Phone

Marital Status

If applicable, anniversary date

Single Children/Other Family Members Living With You

Full Name of Child 1

Gender

Male

Female

Date of Birth

Hebrew Name

Grade/School or Address if not at home

Full Name of Child 2

Gender

Male

Female

Date of Birth

Hebrew Name

Grade/School or Address if not at home

Full Name of Child 3

Gender

Male

Female

Date of Birth

Hebrew Name

Grade/School or Address if not at home

Full Name of Child 4

Gender

Male

Female

Date of Birth

Hebrew Name

Grade/School or Address if not at home

Full Name of other family member living with you

Gender

Date of Birth

Hebrew Name

Full Name of other family member living with you

Gender

Date of Birth

Hebrew Name

Married Children

Married Child 1: Full name of child & spouse, address, birth dates, and children's names

Married Child 2: Full name of child & spouse, address, birth dates, and children's names

Married Child 3: Full name of child & spouse, address, birth dates, and children's names

Yahrzeit To Be Observed

Yarhzeit 1 Name

Member Related to/Relationship

English Date of Passing

Yarhzeit 2 Name

Member Related to/Relationship

English Date of Passing

Yarhzeit 3 Name

Member Related to/Relationship

English Date of Passing

Help Us Play Jewish Geography

City where you grew up

Member 1

Member 2

Childhood Temple

Member 1

Member 2

Camp(s)

Member 1

Member 2

Colleges/Grad Schools

Member 1

Member 2

Sorority/Fraternity

Member 1

Member 2

How Did You Hear About Us?

* Check All That Apply

Friends/Relatives

TST Website

Advertising

Social Media

Other

If Friends/relatives was checked, please tell us their names; if Advertising was checked, please tell us the name of the publication; if Other was checked, please specify:

Reason for Joining

* Check All That Apply

Child(ren) will be starting religious school

Want to connect to the Jewish community

Looking for Jewish family activities/programs

Adult learning

Adult social programs

Holiday and Shabbat worship service

B'nai Mitzvah or other life cycle events

Other

If Other was checked, please specify

Opportunities for Participation

Please check the areas in which you would like to participate

* Member 1

Adult Learning

Finance

Social Action

Marketing & Communications

Facilities Planning

Music - Choir

Music - Instrumental

Jewish Obersvance at the Temple

Jewish Observance in the home

Learning for children

Learning for teens

Israel

Fundraising

Caring Community/helping sick and bereaved

Event Coordination

Sisterhood/Brotherhood

Member 2

Adult Learning

Finance

Social Action

Marketing & Communications

Facilities Planning

Music - Choir

Music - Instrumental

Jewish Obersvance at the Temple

Jewish Observance in the home

Learning for children

Learning for teens

Israel

Fundraising

Caring Community/helping sick and bereaved

Event Coordination

Sisterhood/Brotherhood

Talents & Interests

Please check the areas that apply

* Member 1

Cooking

Dancing

Painting

Music

Knitting

Bicycling

Writing

Hiking

Theater

Gardening

Graphic Arts

Decorating

Sewing

Computer Skills

Photography

Reading

Mah Jongg

Sports

Member 2

Cooking

Dancing

Painting

Music

Knitting

Bicycling

Writing

Hiking

Theater

Gardening

Graphic Arts

Decorating

Sewing

Computer Skills

Photography

Reading

Mah Jongg

Sports

Being part of the Temple Shaaray Tefila family is a covenantal relationship.

As partners in our community, we ask that you make a commitment to our community.
. We ask that you and your family become part of our community by regularly attending services and participating in programs
. We ask that you share your talents and ideas with our temple leaders and congregation
. We ask that you pay all dues and fees in a timely manner and that you consider making additional financial contributions to the Temple in a way that is meaningful to you
. We ask that you agree to abide by the constitution and by-laws of the Temple

Your agreement below (in lieu of your signature) indicates your willingness to join and to become a partner in the Temple Shaaray Tefila community in accordance with the expectations above.

Additionally, you give permission for photographs, slides, videos, or audiotapes of yourself and/or child(ren) to be used for our website, public relations purposes, and promotion of Temple Shaaray Tefila and our school.

Your agreement below (in lieu of your signature) indicates your authorization.

The information on this form is correct and confidential

yes, I/we agree

Account Details

E-mail

Enter your name and e-mail address for your confirmation

First Name

Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Checking Account

Name on the Account

Bank Name

Routing Number

Is usually located between the symbols on your check.

Account Number

Typically comes before the symbols. Its exact location and number of digits varies from bank to bank.

Confirm Account Number

PLEASE INCREASE YOUR DONATION TO COVER THE CREDIT CARD FEES. No fee for e-checks

Comments

For added Security please check the box below.

Total:

*2019 Membership Application

Adult Member 1

Adult Member 2

Family Information

Opportunities for Participation

Talents & Interests

Membership Commitment

Account Details

Payment Information

Credit Card

Checking Account

For added Security please check the box below.