Membership Application

Today's Date
MM slash DD slash YYYY
Adult #1
Adult #1 Name*
First Middle Last
Adult #1 Hebrew Name
Birth Date
MM slash DD slash YYYY
- Adult #1 Occupation / Employer
- Adult #1 Email Address*
  
  (this will be used to send an email of the submitted form to you)
- Adult #1 Work Phone Number
- Adult #1 Cell Phone Number
Adult #2
Adult #2 Name
First Middle Last
Adult #2 Hebrew Name
Birth Date
MM slash DD slash YYYY
- Adult #2 Occupation / Employer
- Adult #2 Email Address
- Adult #2 Work Phone Number
- Adult #2 Cell Phone Number
Household
Date of Marriage / Civil Union
MM slash DD slash YYYY
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone
Directory Information
Please indicate what information you would like included in the Temple Membership Directory
- Directory - Adult #1 Email Address
  Adult #1 Email
  - Yes
  - No
- Directory - Adult #1 Cell Phone
  Adult #1 Cell Phone
  - Yes
  - No
- Directory - Adult #1 Work Phone
  Adult #1 Work Phone
  - Yes
  - No
- Directory - Adult #2 Email Address
  Adult #2 Email Address
  - Yes
  - No
- Directory - Adult #2 Cell Phone
  Adult #2 Cell Phone
  - Yes
  - No
- Directory - Adult #2 Work Phone
  Adult #2 Work Phone
  - Yes
  - No
- Directory - Home Address
  Home Address
  - Yes
  - No
- Directory - Home Phone
  Home Phone
  - Yes
  - No
Religious Affiliation / Observance
Please describe your/your family’s religious affiliation/observance (for example: interfaith family, all members observant Reform Jews, one partner non-religious, one partner Conservative, etc.) This information helps us plan programming and events for our diverse Temple family
Committees and Volunteering
Sinai Temple has a robust volunteer base. We depend on our membership to lead and coordinate many of our Temple’s activities and events each year. Please indicate which family member is interested in volunteering on the following line.
- Adult #1
  - Select All
  - Building & Grounds
  - Chavurah
  - Development/Fundraising
  - Green Team
  - Kitchen/Oneg
  - Library
  - Membership
  - Music
  - Office/Mailing Help
  - Religious Education
  - Social Action
  - Social Events
  - Ushers
- Adult #2
  - Select All
  - Building & Grounds
  - Chavurah
  - Development/Fundraising
  - Green Team
  - Kitchen/Oneg
  - Library
  - Membership
  - Music
  - Office/Mailing Help
  - Religious Education
  - Social Action
  - Social Events
  - Ushers
Children
Child #1 Name
First Last
- Child #1 Hebrew Name
- Child #1 School
- Child #1 Birth Date
  MM slash DD slash YYYY
- Child #1 Grade
Child #1 Religious Education Level / Experience
Child #2 Name
First Last
- Child #2 Hebrew Name
- Child #2 School
- Child #2 Birth Date
  MM slash DD slash YYYY
- Child #2 Grade
Child #2 Religious Education Level / Experience
Child #3 Name
First Last
- Child #3 Hebrew Name
- Child #3 School
- Child #3 Birth Date
  MM slash DD slash YYYY
- Child #3 Grade
Child #3 Religious Education Level / Experience
Child #4 Name
First Last
- Child #4 Hebrew Name
- Child #4 School
- Child #4 Birth Date
  MM slash DD slash YYYY
- Child #4 Grade
Child #4 Religious Education Level / Experience
CAPTCHA