Membership Application - Form - Temple Emanu-El of Closter

180 Piermont Road, Closter, NJ 07624

templeemanu-el.com ♦ 201.750.9997

Membership Application

* Type of Membership

Adult Member One

* Title

* Last Name

* First Name

Middle Name

Nickname

* Home Address

* City

* State

* Zip Code

Seasonal Address (if applicable)

City

State

Zip Code

Dates at Seasonal Address

* Date of Birth

* Cell Phone Number

* Email Address

Occupation

Employer

Work Address

Work Phone Number

Marital Status

Anniversary Date

Hebrew Name

Religious Affiliation

Religion, if different than Judaism

Religion in which you were raised

Reform, Conservative, etc.

Adult Member Two

* Title

Last Name

First Name

Middle Name

Nickname

Date of Birth

Cell Phone Number

Email Address

Occupation

Employer

Work Address

Work Phone Number

Hebrew Name

Religious Affiliation

Religion, if different than Judaism

Religion in which you were raised

Reform, Conservative, etc.

Former Synagogue Affiliation

Do you have any children?

YesNo

How many children do you have?

Child 1

Gender

MaleFemaleOther

Name

Nick Name

Hebrew Name

Email Address

Date of Birth

Public/Secular School

If College Student, please list address and contact information

Anything else we should know?

Relationship to Adult 1

Relationship to Adult 2

Child 2

Gender

MaleFemaleOther

Name

Nick Name

Hebrew Name

Date of Birth

Public/Secular School

Email Address

If College Student, please list address and contact information

Anything else we should know?

Relationship to Adult 1

Relationship to Adult 2

Child 3

Gender

MaleFemaleOther

Name

Nick Name

Hebrew Name

Date of Birth

Public/Secular School

Email Address

If College Student, please list address and contact information

Anything else we should know?

Relationship to Adult 1

Relationship to Adult 2

Child 4

Gender

MaleFemaleOther

Name

Nick Name

Hebrew Name

Date of Birth

Public/Secular School

Email Address

If College Student, please list address and contact information

Anything else we should know?

Relationship to Adult 1

Relationship to Adult 2

Child 5

Gender

MaleFemaleOther

Name

Nick Name

Hebrew Name

Date of Birth

Public/Secular School

Email Address

If College Student, please list address and contact information

Anything else we should know?

Relationship to Adult 1

Relationship to Adult 2

Please complete the following section for all yahrzeit reminder notices.

A yahrzeit is the anniversary of the day of a loved one's passing. Temple Emanu-El will send a yearly reminder prior to the yahrzeit date, according to either the English or the Hebrew date.

Would you like us to include Yahrzeits in our database?

YesNo

How many yahrzeits would you like included?

Yahrzeit 1

Name of Deceased

Please write the name as it should be listed.

English Date of Passing

After Sunset

YesNo

Observed By

Relationship to You

Other Relationship

Yahrzeit 2

Name of Deceased

Please write the name as it should be listed.

English Date of Passing

After Sunset

YesNo

Observed By

Relationship to You

Other Relationship

Yahrzeit 3

Name of Deceased

Please write the name as it should be listed.

English Date of Passing

After Sunset

YesNo

Observed By

Relationship to You

Other Relationship

Yahrzeit 4

Name of Deceased

Please write the name as it should be listed.

English Date of Passing

After Sunset

YesNo

Observed By

Relationship to You

Other Relationship

Yahrzeit 5

Name of Deceased

Please write the name as it should be listed.

English Date of Passing

After Sunset

YesNo

Observed By

Relationship to You

Other Relationship

Yahrzeit 6

Name of Deceased

Please write the name as it should be listed.

English Date of Passing

After Sunset

YesNo

Observed By

Relationship to You

Other Relationship

Yahrzeit 7

Name of Deceased

Please write the name as it should be listed.

English Date of Passing

After Sunset

YesNo

Observed By

Relationship to You

Other Relationship

Get Involved with Temple Emanu-El

Please upload a family photo

* Family Photo

Just a few more questions

Any special needs?

Does anyone in your household have any limitations of which we should be aware? Please explain.

Do any of your children (if applicable) currently attend Solomon Schechter Day School?

YesNo

Relatives

List any relatives who are members of Temple Emanu-El (include name and specify to which member they are related and how)

Friends

Are you friends with any members?

What organizations or affiliations are you involved with?

Please list any other organizations you work or volunteer with.

Is there anything else we should know?

How did you hear about Temple Emanu-El?

We are very glad to welcome you and your family to Temple Emanu-El. Please answer a few additional questions about your decision to become a member here.

What were all the factors that played a part in your decision to join Temple Emanu-El?

What one factor contributed the most to your decision to join Temple Emanu-El?

Which other temples, if any, did you consider before joining Temple Emanu-El?

Financial Obligations

Temple Emanu-El provides countless ways to feel the joy of belonging to our community from our uplifting worship and vibrant Youth and Family programs to our commitment to Social Justice and Tikkun Olam. These opportunities are made possible through the ongoing contributions of our membership. Each household is responsible for a variety of fees on annual basis. Please note that at Temple Emanu-El we pride ourselves on our inclusivity and will work with any household where finances create a barrier to membership.

The Community Commitment (membership) is the annual pledge each household makes to the congregation. This amount is set by our board during our budgeting process and is payable throughout the entire fiscal year (July 1 through June 30). There are many tiers for membership we will contact you to find out which membership works best for you and your family:

Benefactor Membership (includes two reserved High Holiday seats and two tickets to the Annual Celebration)
Patron Membership (includes two reserved High Holiday seats as well as youth and teen programming for the High Holidays)
Single Patron Membership (includes one reserved High Holiday seat)
Family Membership (includes two High Holiday tickets as well as youth and teen programming for the High Holidays)
Single Membership (includes one High Holiday ticket)

In order to cover the costs of our ongoing efforts to maintain a safe and secure facility, the board of directors has approved an annual Security Fee of $400 per family or $250 for individuals. The fee will be listed on your account as a separate line item from Membership Dues, and Religious School Tuition. One hundred percent of these funds will go toward continued police presence, additional physical security needs, and ongoing training for staff, lay leadership, and the congregation at large.

For those enrolling children in our Religious School program, there is an additional tuition fee.

I/We apply for membership in Temple Emanu-El and agree to be bound by its by-laws and regulations. I/We agree to pay annual membership dues, the Building Fund pledge, school tuition (if applicable), assessments, and any other sums which I/we may owe to the Temple, when due. Membership continues in Temple Emanu-El from year to year until I/we submit my/our written resignation/s or membership is otherwise terminated.

If you have any questions about the Membership Application please contact the temple office at 201-750-9997. Welcome to Temple Emanu-El, we're so happy you're joining our community!

* I have read and agree to the above statement

I have read and agree to the above statement