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Membership Application

Temple Chaverim Membership Application

                                         PERSONAL INFORMATION                                 

Please include your name, your father's name & your mother's name
Example: Isaac ben Abraham v'Sarah (ben = son of, bat = daughter of; v = and)

Please include your name, your father's name & your mother's name
Example: Isaac ben Abraham v'Sarah (ben = son of, bat = daughter of; v = and)

We will do our best to accommodate your request within system capabilities.
Please list only one

                                     ADDRESS                                     

All mail will be sent to  your residence unless otherwise requested.

Mailing address (if different)


                                      FAMILY INFORMATION                                     

* Applies to each of your children who reside with you.

1st Child

2nd Child

3rd Child

4th Child


Please enter at least one emergency contact.
Please include name and phone number.

                        YAHRZEIT INFORMATION                           

* A Yahrzeit reminder notice will be sent to you every year.

Please list the names of loved ones for whom you wish Yahrzeit notices sent

                             MISCELLANEOUS INFORMATION                              

                        Opportunity for Engagement in our Community                 

 

At Temple Chaverim, we believe that joining a congregation is a spiritual and emotional commitment.
We encourage all congregants to become involved in all aspects of life in our congregational
community.  In furthering this ideal, we request that upon signing this application you commit to
participate in congregational life.  Please indicate which of these areas interest you by checking the
appropriate box or boxes.  Your participation will help strengthen the community and will make your
temple experience more meaningful.  You will be contacted by a congregation member with more
information.


 


A refundable deposit is due with this form.
Applicant Signature
Sun, June 13 2021 3 Tammuz 5781