Membership Application

MEMBER INFORMATION

Adult 1

Title

* First Name

* Last Name

Nickname (if applicable)

Hebrew Name

* Preferred Pronouns

(e.g. she/her or they/them)

* Date of Birth

* Current Religious Identification:

If Non-Jewish, how do you identify?

* Street Address

* City

* State

* ZIP

* Cell Phone

Home Phone

Work Phone

* Email Address

A confirmation email will be sent to this address.

Occupation

Business Name

Name, City & State of Previous Congregation(s) (if applicable)

If you held any lay leadership position(s), please explain.

Please list any relatives that belong to The Community Synagogue and their relationship to Adult 1:

Please list any friends that belong to The Community Synagogue:

How would you like to be involved at The Community Synagogue?

Other Hobbies & Interests

* Marital Status

Anniversary Date

Were you married at The Community Synagogue?

Name of Deceased Spouse:

Date of Death

Adult 2

* Is there a second adult in the household?

Title

* First Name

* Last Name

Nickname (if applicable)

Hebrew Name

* Preferred Pronouns

(e.g. she/her or they/them)

* Date of Birth

* Current Religious Identification:

If Non-Jewish, how do you identify?

* Street Address

* City

* State

* ZIP

* Cell Phone

Home Phone

Work Phone

* Email Address

Occupation

Business Name

Name, City & State of Previous Congregation(s) (if applicable)

If you held any lay leadership position(s), please explain.

Please list any relatives that belong to The Community Synagogue and their relationship to Adult 2:

Please list any friends that belong to The Community Synagogue:

How would you like to be involved at The Community Synagogue?

Other Hobbies & Interests

* Marital Status

Anniversary Date (if applicable)

Were you married at The Community Synagogue?

Name of Deceased Spouse:

Date of Death

Child(ren)'s Information

* Are there children in the household?

Child 1

Preferred Pronouns

(e.g. she/her or they/them)

* Date of Birth

Grade

As of this coming September

* First Name

* Last Name

Hebrew Name (if known)

* TCS ECC

* TCS Religious School

Child 2

Preferred Pronouns

(e.g. she/her or they/them)

* Date of Birth

Grade

As of this coming September

* First Name

* Last Name

Hebrew Name (if known)

* TCS ECC

* TCS Religious School

Child 3

Preferred Pronouns

(e.g. she/her or they/them)

* Date of Birth

Grade

As of this coming September

* First Name

* Last Name

Hebrew Name (if known)

* TCS ECC

* TCS Religious School

Child 4

Preferred Pronouns

(e.g. she/her or they/them)

* Date of Birth

Grade

As of this coming September

* First Name

* Last Name

Hebrew Name (if known)

* TCS ECC

* TCS Religious School

YAHRZEIT INFORMATION

Each household may acknowledge the anniversaries of relatives' deaths, using either the Hebrew or English calendar. You will receive a reminder of when to light a memorial candle for your loved one, and when their name will be read during the corresponding Shabbat service. Jewish and non-Jewish relatives may be honored.

Please indicate which calendar you choose to observe each yahrzeit (Hebrew date/English date).

Please use the '+' to add additional Yahrzeits.

Name of Deceased

Date of Death

Hebrew Date

English Date

Relationship (to Which Member)

Before Sundown

After Sundown

Name of Deceased

Date of Death

Hebrew Date

English Date

Relationship (to Which Member)

Before Sundown

After Sundown

WE LOOK FORWARD TO CONNECTING WITH YOU

Is there anything else you would like us to know?

Sponsored by: TCS

Sponsored by: TCS

TCS

MEMBER INFORMATION

YAHRZEIT INFORMATION

WE LOOK FORWARD TO CONNECTING WITH YOU