MEMBERSHIP APPLICATION FORM

Adult #1

Adult #2

Street, P.O. Box, Apt #, etc

CONTACT INFORMATION

Adult #1

Adult #2

OCCUPATIONAL INFORMATION (If retired, please note previous occupation)

Adult #1

Adult #2

Child #1

Child #2

MISSION STATEMENT

Temple Beth Shalom is a welcoming, inclusive community, celebrating Reform Judaism, exploring our connection with God, and dedicated to learning and pursuing justice.

I hereby apply for membership in Temple Beth Shalom and commit myself to the purpose of this
congregation as expressed in the TBS mission statement.

Are you interested in information about:

Have you ever been a member of a congregation affiliated with the Union for Reform Judaism?

To be observed by:

Thank you for taking the time to complete this membership form.

We are delighted to welcome you and would like to introduce you to the congregation! Would you be willing to have a brief bio and photo appear in our Temple Bulletin?

Click here to download

FAMILY INFORMATION:

YAHRZEITS