Membership Application Temple Shaaray Tefila 2024-25 - Form - Temple Shaaray Tefila of Northern Westchester

Temple Shaaray Tefila welcomes you to our community. Please call (914) 666-3133 if you have any questions or need assistance with this form. For Questions about membership please contact Howard Greenstein, Executive Director at hgreenstein@templest.org or 914.307.0467.

ADULT MEMBER 1

Member 1 - Title

* Member 1 - First Name

Member 1 - Middle Name

* Member 1 - Last Name

* Member 1 - Date of Birth

Member 1 - Cell Phone

* Member 1 - Email

Member 1 - Occupation

Member 1 - Employer

Member 1 - Business Phone

Member 1 - Business Email

Member 1 - Religion

Member 1 - Hebrew Name

Member 1 - Do you read Hebrew?

ADULT MEMBER 1 - INTERESTS

ADULT MEMBER 1 - TALENTS

* Is there a second adult applying for membership?

ADULT MEMBER 2

Member 2 - Title

Member 2 - First Name

Member 2 - Middle Name

Member 2 - Last Name

Member 2 - Date of Birth

Member 2 - Cell Phone

Member 2 - Email

Member 2 - Occupation

Member 2 - Employer

Member 2 - Business Phone

Member 2 - Business Email

Member 2 - Religion

Member 2 - Hebrew Name

Member 2 - Do you read Hebrew?

ADULT MEMBER 2 - INTERESTS

ADULT MEMBER 2 - TALENTS

FAMILY INFORMATION

* Address

* City

* State

* Zip Code

Home Phone

* Marital Status

Anniversary Date

if applicable

CHILD(REN) INFORMATION

* How many children live with you?

CHILD 1 INFORMATION

Child 1 - First Name

Child 1 - Middle Name

Child 1 - Last Name

Child 1 - Gender

Child 1 - Date of Birth

Child 1 - Hebrew Name

Child 1 - Grade/School or address if not at home:

CHILD 2 INFORMATION

Child 2 - First Name

Child 2 - Middle Name

Child 2 - Last Name

Child 2 - Gender

Child 2 - Date of Birth

Child 2 - Hebrew Name

Child 2 - Grade/School or address if not at home:

CHILD 3 INFORMATION

Child 3 - First Name

Child 3 - Middle Name

Child 3 - Last Name

Child 3 - Gender

Child 3 - Date of Birth

Child 3 - Hebrew Name

Child 3 - Grade/School or address if not at home:

CHILD 4 INFORMATION

Child 4 - First Name

Child 4 - Middle Name

Child 4 - Last Name

Child 4 - Gender

Child 4 - Date of Birth

Child 4 - Hebrew Name

Child 4 - Grade/School or address if not at home:

OTHER FAMILY INFORMATION

* Do any other family members live with you?

Full Name of other family Member

Gender

Date of Birth

Hebrew Name

Full Name of other family Member

Gender

Date of Birth

Hebrew Name

MARRIED CHILD(REN) INFORMATION

* Do you have any married children?

Full Name and age of Child

Spouses Name and age

if applicable

Address

Children's Names

if applicable

Full Name and age of Child

Spouses Name and age

if applicable

Address

Children's Names

if applicable

Full Name and age of Child

Spouses Name and age

if applicable

Address

Children's Names

if applicable

YAHRZEIT INFORMATION

* How many yahrzeits would you like to observe?

Deceased Name

Related to:

English Date of Passing

Deceased Name

Related to:

English Date of Passing

Deceased Name

Related to:

English Date of Passing

Deceased Name

Related to:

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

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

Reasons for joining:

Child(ren) will be starting religious schoolLooking for Jewish family activities/programsWant to connect to the Jewish communityAdult LearningAdult social programsB'nai Mitzvah or other life cycle eventsHoliday and Shabbat worship servicesOther

If other was checked above, please specify reason for joining.

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.

Checking the box below indicates your authorization.

Yes, I /we agree.