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Membership Form 2025-26
Please verify reCaptcha before submitting the form.
Temple Sinai Membership Form
2025-26
FAMILY INFORMATION
ADULT #1
SUFFIX
Mr.
Ms.
Mrs.
Dr.
Other
OTHER:
FIRST NAME
LAST NAME
NICKNAME
DATE OF BIRTH
PRONOUNS
He/him
She/her
They/them
Other
OTHER:
RELIGIOUS AFFILIATION
HEBREW NAME
If applicable
ADDRESS LINE 1
ADDRESS LINE 2
CITY
STATE
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP CODE
EMAIL
JOB TITLE
(If retired, previous profession)
CELL PHONE NUMBER
WORK NUMBER
MARITAL STATUS
Single
Engaged
Married
Divorced
Widowed
Separated
Partnered
N/A
If applicable
ANNIVERSARY DATE
If applicable
IS THERE ANYTHING ELSE YOU WOULD LIKE US TO KNOW ABOUT YOUR FAMILY?
COMMUNITY INVOLVEMENT
Activities, board affiliations, volunteer work or related experience
ADULT #2
SUFFIX
Mr.
Ms.
Mrs.
Dr.
Other
OTHER:
FIRST NAME
LAST NAME
NICKNAME
DATE OF BIRTH
PRONOUNS
He/him
She/her
They/them
Other
OTHER:
RELIGIOUS AFFILIATION
HEBREW NAME
If applicable
DO YOU LIVE AT THE SAME ADDRESS AS ABOVE?
Yes
No
ADDRESS LINE 1
ADDRESS LINE 2
CITY
STATE
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP CODE
EMAIL ADDRESS
JOB TITLE
If retired, previous profession
CELL PHONE NUMBER
WORK NUMBER
COMMUNITY INVOLVEMENT
Activities, board affiliations, volunteer work or related experience
HOW WOULD YOU LIKE TO BE ADDRESSED IN LETTERS/EMAILS?
HOW WOULD YOU LIKE TO BE ADDRESSED ON ENVELOPES?
HOW DID YOU HEAR ABOUT TEMPLE SINAI?
RELATIVES + FRIENDS WHO ARE ALSO MEMBERS OF TEMPLE SINAI (LIST BELOW):
MOST RECENT CONGREGATIONAL AFFILIATE, IN WHAT WAYS HAVE YOU BEEN ACTIVE IN CONGREGATIONAL LIFE IN THE PAST?
DOES ANYONE IN YOUR FAMILY HAVE INCLUSION/ACCESSIBILITY NEEDS YOU WISH TO DISCLOSE?
DO YOU HAVE CHILDREN?
No
Yes
CHILDREN
FIRST NAME
LAST NAME
NICKNAME
DATE OF BIRTH
GRADE
PRONOUNS
He/him
She/her
They/them
Other
OTHER
B'NEI MITZVAH DATE
If applicable
HEBREW NAME
If applicable
FIRST NAME
LAST NAME
NICKNAME
DATE OF BIRTH
GRADE
PRONOUNS
He/him
She/her
They/them
Other
OTHER
B'NEI MITZVAH DATE
If applicable
HEBREW NAME
If applicable
FIRST NAME
LAST NAME
NICKNAME
DATE OF BIRTH
GRADE
PRONOUNS
He/him
She/her
They/them
Other
OTHER
B'NEI MITZVAH DATE
If applicable
HEBREW NAME
If applicable
ARE THERE YAHRZEITS YOU WISH TO COMMEMORATE?
No
Yes
YAHRZEITS
NAME OF DECEASED
ENGLISH DATE OF DEATH
FOR WHICH DATE WOULD YOU LIKE TO BE NOTIFIED OF THE UPCOMING OBSERVANCE?
English
Hebrew
PERSON TO BE NOTIFIED
RELATIONSHIP TO THE DECEASED
NAME OF DECEASED
ENGLISH DATE OF DEATH
FOR WHICH DATE WOULD YOU LIKE TO BE NOTIFIED OF THE UPCOMING OBSERVANCE?
English
Hebrew
PERSON TO BE NOTIFIED
RELATIONSHIP TO THE DECEASED
NAME OF DECEASED
ENGLISH DATE OF DEATH
FOR WHICH DATE WOULD YOU LIKE TO BE NOTIFIED OF THE UPCOMING OBSERVANCE?
English
Hebrew
PERSON TO BE NOTIFIED
RELATIONSHIP TO THE DECEASED
If you have additonal Yahrzeits, please email Jocelyn at
jinglis@templesinaibc.org
.
MEMBERSHIP FINANCIAL COMMITMENT
I/My family commits to:
CORNERSTONE:
Family: $3,950
Single Parent: $2,575
Single Individual: $2,335
Senior Individual: $1,650
Senior Family: $2,950
SHALOM:
Young Family: $760
Single Individual: $410
K-2 Family: $1,475
3rd Grade Family: $2,575
ENHANCED:
Haverim (Friends): $1800
Bonim (Builders): $3,600
Re'im (Partners): $5,400
Shomrim (Guardians): $7,200
Malachim (Angels): $10,000+
AFFILIATE:
Single/ Family: $750
BUILDING FUND AMMOUNT ($2,000/$500)
$2,000 one time payment
$500 a year for 5 years
$2,000 total or $500 a year for 5 years
*
Annual Security Assessment: $150
Annual Security Assessment: $150
*
Annual Security Staffing Fee: $375
Annual Security Staffing Fee: $375
Total for July 2025-June 2026
Mon, July 7 2025 11 Tammuz 5785