Friends of TES Application - Form

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Welcome to Temple Emek Shalom. We are excited that you are interested in associating with a vibrant and caring Jewish community. Here are the steps to take to become a member of TES.

Fill out this application form
Someone from the Membership Committee will arrange to meet with you.
After your meeting, you will be send a link to submit a Pledge Form and make your first Dues payment
Get involved!

Please call or email Sara at the TES Office with any questions:
541-488-2909 or office@emekshalom.org.

Adult Member 1

Title

* First Name

* Last Name

* Phone Number

* Email

Gender

* Birth Date

Do you want to be included in the Membership Directory?

Include in Directory

Mobile PhoneHome PhoneEmailSee disclaimer below.

Announce in monthly newsletter?

As a new member, we would like to introduce you and include your Member Directory information in the monthly newsletter that only goes to members.

At TES, we use many forms of communication to get our members' information. We have recently begun to send mass texts. Please check the box(es) below to indicate what texts you want to receive.

Reminder of TES EventsReminder to register for HolidaysReminder to Register for TES EventsShul School (Religious School)TES closed on regular business day

Communication Preferences
Please indicate below what your preferred type of communication is by selecting the order of preference.

Home Phone

Mobile Phone

Text

Additional Information?

Where are you from? How did you hear about TES?

Is there another adult in your household?

Adult Member 2

Title

First Name

Last Name

Phone Number

Gender

Birth Date

Do you want to be included in the Membership Directory?

Include in Directory

Mobile PhoneHome PhoneEmailSee disclaimer below.

Announce in monthly newsletter?

As a new member, we would like to introduce you and include your Member Directory information in the monthly newsletter that only goes to members.

Additional Information?

Where are you from? How did you hear about TES?

Anniversary Date, if applicable

* Address

* City

* State

* ZIP code

Please check here if you do NOT want your address listed in the Member Directory.

Children Information

Do you have any children living at home?

How many children are living at home?

Child 1

First Name

Last Name

Birth Date

Pronouns

May we publish this child's name and year of birth?

May we publish this child's name and year of birth?See disclaimer below.

Announce in monthly newsletter?

May we publish the Member Directory information in the monthly newsletter?

Child's Email Address (if you allow us to contact your child)

Child's Phone Number (if you allow us to contact your child)

Child 2

First Name

Last Name

Birth Date

Pronouns

May we publish this child's name and year of birth?

See disclaimer below.

Announce in monthly newsletter?

May we publish the Member Directory information in the monthly newsletter?

Child's Email Address (if you allow us to contact your child)

Child's Phone Number (if you allow us to contact your child)

Child 3

First Name

Last Name

Birth Date

Pronouns

May we publish this child's name and year of birth?

May we publish this child's name and year of birth?See disclaimer below.

Announce in monthly newsletter?

May we publish the Member Directory information in the monthly newsletter?

Child's Email Address (if you allow us to contact your child)

Child's Phone Number (if you allow us to contact your child)

Child 4

First Name

Last Name

Birth Date

Pronouns

May we publish this child's name and year of birth?

May we publish this child's name and year of birth?See disclaimer below.

Announce in monthly newsletter?

May we publish the Member Directory information in the monthly newsletter?

Child's Email Address (if you allow us to contact your child)

Child's Phone Number (if you allow us to contact your child)

MEMBERSHIP DIRECTORY DISCLOSURE: The Membership Directory is published annually. The front cover of the directory states:

"This Membership Directory is provided for members of Temple Emek Shalom and "Friends of TES" only. Please do not provide information to non-members without permission from the member."

YAHRZEIT- Remembering the anniversary of a death.

Please list any family or friends you want to acknowledge.
Do you have anyone you would like to remember?

This information will be used to honor loved ones in our newsletters. This information will not be available for any other reason.

How many people would you like to list?

Name

Relationship

Date of Death

Hebrew CalendarGregorian Calendar

Name

Relationship

Date of Death

Hebrew CalendarGregorian Calendar

Name

Relationship

Date of Death

Hebrew CalendarGregorian Calendar

Name

Relationship

Date of Death

Hebrew CalendarGregorian Calendar

Name

Relationship

Date of Death

Hebrew CalendarGregorian Calendar

Name

Relationship

Date of Death

Hebrew CalendarGregorian Calendar

Interests

Volunteer opportunities: You are aware that membership at TES requires a financial pledge if you are able. Your pledge supports our building, grounds, Shabbat services, staff, learning experiences and community events. You may not be aware that the support for all these parts of our vibrant community life also requires your time and talent. We would like to assist you to find that place where you can contribute to our community with your special gifts.

Check a committee you might be interested in below and someone will call you to explore the possibilities.

Adult Name 1

Adult 1: Are there other ways you are contributing your time and talents to TES?

Adult Name 2

Adult 2: Are there other ways you are contributing your time and talents to TES?

By checking this box and submitting this form, you agree to having your contact information shared with Temple Emek Shalom and its representatives for communication purposes. Your personal information will not be sold.