Membership Form - Form - Temple Emanuel Denver

Please fill in the following information as completely and accurately as possible. Please contact Susan Chayet, Membership Director with any questions.

Please note: If you recieve an "Oops" error while attempting to submit this form, please do not submit again. Please contact Susan, above. Our provider is working on the issue.

* Adult 1 - First Name

Adult 1 - Middle Name

* Adult 1 - Last Name

Adult 1 - Maiden Name

if applicable

* Adult 1 - Preferred Name

* Adult 1 - Date of Birth

* Adult 1 - Place of Birth/Country

Adult 1 - Marital Status

Adult 1 - Hebrew Name

* Adult 1 - Email Address

* Adult 1 - Mobile Phone

Adult 1 - Home Phone

* Adult 1 - Home Address

Adult 1 - Address 2

* Adult 1 - City

* Adult 1 - State

* Adult 1 - Zip Code

Adult 1 - Occupation/Profession

Adult 1 - Business/Employer Name

Adult 1 - Business Phone

Adult 1 - Secular Education

* Adult 1 - Religious Affiliation

* Adult 1 - Religious Tradition in which you were raised

Denomination

Adult 1 - Did you convert?

Learn more about our various interest groups.

Adult 1 - Hobbies or Skills and other areas of interest

Adult 1 - Photograph

Please attach a photo of Adult 1 above:

* Is there a second adult in the household?

* Adult 2 - First Name

Adult 2 - Middle Name

* Adult 2 - Last Name

Adult 2 - Maiden Name

if applicable

* Adult 2 - Preferred Name

* Adult 2 - Date of Birth

* Adult 2 - Place of Birth/Country

Adult 2 - Marital Status

Adult 2 - Hebrew Name

* Adult 2 - Email Address

* Adult 2 - Mobile Phone

Adult 2 - Home Phone

Adult 2 - Occupation/Profession

Adult 2 - Business/Employer Name

Adult 2 - Business Phone

Adult 2 - Secular Education

* Adult 2 - Religious Affiliation

* Adult 2 - Religious Tradition in which you were raised

Denomination

Adult 2 - Did you convert?

Learn more about our various interest groups.

Adult 2 - Hobbies or Skills

Adult 2 - Photograph

Please attach a photo of Adult 2 here above

* Adult 2 - Does Adult 2 live at the same address as Adult 1?

* Adult 2 - Home Address

* Adult 2 - Address 2

* Adult 2 - City

* Adult 2 - State

* Adult 2 - Zip Code

As a member, you may add the names of your deceased loved ones to our weekly Kaddish list by logging into your Temple ShulCloud account and adding the names there. This is a “one-time” add and names will not be automatically repeated from year to year. A link to your new account will sent to you via email after your Membership has been accepted.

You may choose to honor the memory of your loved one in perpetuity by purchasing a memorial plaque, to be mounted in our Meditation Room. Names that appear on plaques will be added to our perpetual Yahrzeit list and will be automatically read each year on the Shabbat following the anniversary of death. You will receive a reminder postcard approximately one month prior to the anniversary date, telling you on which Shabbat the deceased’s name will be read. A Plaque Order Form with more detailed information can be found here or is available from the Temple office.

List all children in your household that are included in your family membership. If you have more than four children, contact the office.

* How many children live in the family home?

* Child 1 - First Name

Child 1 - Middle Name

* Child 1 - Last Name

Child 1 - Preferred Name

* Child 1 - Birth Date

* Child 1 - Name of Current School

* Child 1 - Current Grade

Child 1 - Address if not living with you

* Child 1 - Is this child being raised in the Jewish faith?

* Child 1 - Will this child be attending Religious School at Temple Emanuel?

Child 1 - If previously attended Religious School, list Congregation and City.

Child 1 - Bar/Bat Mitzvah: Date, Congregation, City

Child 1 - Confirmation: Date, Congregation, City

Child 1 - Photograph

Please attach a photo of Child 1 above.

* Child 2 - First Name

Child 2 - Middle Name

* Child 2 - Last Name

Child 2 - Preferred Name

* Child 2 - Birth Date

* Child 2 - Name of Current School

* Child 2 - Current Grade

Child 2 - Address if not living with you

* Child 2 - Is this child being raised in the Jewish faith?

* Child 2 - Will this child be attending Religious School at Temple Emanuel?

Child 2 - If previously attended Religious School, list Congregation and City.

Child 2 - Bar/Bat Mitzvah: Date, Congregation, City

Child 2 - Confirmation: Date, Congregation, City

Child 2 - Photograph

Please attach a photo of Child 2 above.

* Child 3 - First Name

Child 3 - Middle Name

* Child 3 - Last Name

Child 3 - Preferred Name

* Child 3 - Birth Date

* Child 3 - Name of Current School

* Child 3 - Current Grade

Child 3 - Address if not living with you

* Child 3 - Is this child being raised in the Jewish faith?

* Child 3 - Will this child be attending Religious School at Temple Emanuel?

Child 3 - If previously attended Religious School, list Congregation and City.

Child 3 - Bar/Bat Mitzvah: Date, Congregation, City

Child 3 - Confirmation: Date, Congregation, City

Child 3 - Photograph

Please attach a photo of Child 3 above.

* Child 4 - First Name

Child 4 - Middle Name

* Child 4 - Last Name

Child 4 - Preferred Name

* Child 4 - Birth Date

* Child 4 - Name of Current School

* Child 4 - Current Grade

Child 4 - Address if not living with you

* Child 4 - Is this child being raised in the Jewish faith?

* Child 4 - Will this child be attending Religious School at Temple Emanuel?

Child 4 - If previously attended Religious School, list Congregation and City.

Child 4 - Bar/Bat Mitzvah: Date, Congregation, City

Child 4 - Confirmation: Date, Congregation, City

Child 4 - Photograph

Please attach a photo of Child 4 above.

Temple Emanuel’s Annual Financial Commitment is called Kehila 1874, symbolic of our community (kehila) and the year of our founding (1874). Additionally, $1,874 is the sustaining amount per member family necessary to maintain our community. Each member is asked to join the Temple Emanuel community at the Baruch Haba, or sustaining, level of $1,874 per household. While this is the minimum sustaining level, we understand that some may not be able to contribute at this level. No one will ever be turned away from our congregation for inability to contribute. We ask that you support our congregation in a way that is significant and meaningful, with the intent of enabling our community to thrive.

Kehila 1874 is based on the one-year period of Temple Emanuel’s fiscal year, which begins July 1 and ends June 30. Memberships are prorated to date of joining. Kehila 1874 commitments may be paid during the current membership year annually, semi-annually, quarterly, or monthly. A statement is mailed monthly to the address provided for any balance due. Your Kehila 1874 commitment may be increased annually.

Those under the age of 31 are eligible for free membership until one household member turns 31. Early Learning Center, Shwayder Camp, cemetery, and wedding fees are not adjusted for those with free memberships.

Please choose a Kehila 1874 giving level:

• Includes Shwayder Camp and school discounts

Benefits of Baruch Haba level, plus

Name published in Kehila 1874 donor list annually

Benefits of previous levels, plus

Access to 12 tribute cards
Invitation to one "pre-event" reception with speaker or performer where space is

limited
Two complimentary tickets to annual fundraising concert
Custom wine with Temple Emanuel label

Benefits of previous levels, plus

Access to unlimited "no cost" tribute cards
Dinner with other Tzedek Circle members
Special "on the road" trip with Rabbi
Once a year special list recognizing Tzedek Circle
Opportunity to be a one-time, featured member on website and social media
Sponsor recognition at annual fundraiser

Benefits of previous levels, plus

Special pearl pin
Framed photo of original Pearl Street Temple

location
Special listing on Pearl Street donor display

• Special recognition for volunteers in one or more of Temple Emanuel's opportunities

and based on ongoing commitment and consistent involvement

* Having given serious thought to meaning of affiliation with Temple Emanuel, I/we hereby submit this application for membership.

Having given serious thought to meaning of affiliation with Temple Emanuel, I/we hereby submit this application for membership.

* I/We are aware that we can pay monthly, quarterly, semi-annually or annually. Billing starts July 1-June 30 of each fiscal year. We are aware we will be billed monthly and annually.

I/We are aware that we can pay monthly, quarterly, semi-annually or annually. Billing starts July 1-June 30 of each fiscal year. We are aware we will be billed monthly and annually.

* I/We wish to pay our dues via credit card online now. We acknowledge we are able to pay in full or split our payments at said time.

All new members are asked to make a pledge to the Capital Improvement Fund of Temple Emanuel to maintain our beautiful facility and plan for future needs. The recommended pledge is twice the amount of the Kehila 1874 commitment. Members under the age of 31 are to determine this pledge upon reaching the age of 31. This pledge is payable over five years and, unless otherwise indicated, charges begin the second year of membership.

* I/We pledge to the Capital Improvement Fund of Temple Emanuel $

* I/We understand these financial commitments are a moral obligation to Temple Emanuel. All outstanding monies I/we have committed to will be paid in full.

I/We understand these financial commitments are a moral obligation to Temple Emanuel. All outstanding monies I/we have committed to will be paid in full.

Total Dues Commitment