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Membership Form

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

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

Adult Information

Adult 1

Contact Information


Employment Information
 

Additional Information
 
You can upload a maximum of 1 files.

Your Jewish Identity

Please tell us more about your Jewish identity. This information will not impact your membership. It just helps us get to know you better!
 

Second Adult


Adult 2

Contact Information


Employment Information
 

Additional Information
 
You can upload a maximum of 1 files.

Your Jewish Identity

Please tell us more about your Jewish identity. This information will not impact your membership. It just helps us get to know you better!
 

Child Information

If you have more than three children to add, please contact Susan Chayet, above.

Child 1

Basic Information
You can upload a maximum of 1 files.

Secular and Religious Education
 

Child 2

Basic Information
You can upload a maximum of 1 files.

Secular and Religious Education
 

Child 3

Basic Information
You can upload a maximum of 1 files.

Secular and Religious Education
 

Membership Dues

Please acknowledge the following and confirm the amount of your dues discussed with Temple staff.
 
Enter a number without the $.

Capital Improvement Fund

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 your annual 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.
 
Enter a number without the $.
Sun, June 16 2024 10 Sivan 5784