New Membership Application - Form

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Thank you for your understanding and cooperation.

Welcome to Temple Emek Shalom. We are excited that you are interested in joining 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 sent a link to submit a Pledge Form and make your first Dues payment.
Get involved!

Please note: We ask you to attach a photo of each person in your family, where instructed below. This will allow Temple members and staff to put names together with faces and promote a greater sense of community and familiarity.

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

Hebrew First Name

Some examples: Some examples: Chaya bat Baruch v’Shirah, Yitzchak Hersh ben Yehudah v’Feygela, Binyamin ben Avraham v’Sarah, Devora Bina bat Shmuel

Mother's Hebrew Name

Father's Hebrew Name

* Mobile Phone Number

* Email

Gender

Pronouns

* Birth Date

* Do you want to be included in the Membership Directory?

Disclaimer provided below.

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.

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

Home Phone

Mobile Phone

Text Message

At TES, we use many forms of communication to get our members' information. We use a mess texting system to send reminders and for urgent needs. Please check the box(s) below to indicate what texts you want to receive.

Is there another adult in your household?

Adult Member 2

Title

First Name

Last Name

Please choose a headshot of adult 2 and upload it.

Hebrew First Name

Some examples: Some examples: Chaya bat Baruch v’Shirah, Yitzchak Hersh ben Yehudah v’Feygela, Binyamin ben Avraham v’Sarah, Devora Bina bat Shmuel

Mother's Hebrew Name

Father's Hebrew Name

Phone Number

Home 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.

Communication Preferences

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

Home Phone

Mobile Phone

Text Message

At TES, we use many forms of communication to get our members' information. We use a mess texting system to send reminders and for urgent needs. Please check the box(s) below to indicate what texts you want to receive.

Additional Information?

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

Anniversary Date, if applicable

* Address

* City

* State

* ZIP code

Home Phone

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

Children Information

Do you have any children at home?

Child 1

First Name

Last Name

Please choose a headshot of child 1 and upload it.

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

Please choose a headshot of child 2 and upload it.

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 3

First Name

Last Name

Please choose a headshot of child 4 and upload it.

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

Please choose a headshot of child 4 and upload it.

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?

ShulCloud, this database system, has the following options for each yahrzeit. The more information you provide, the better the system will be able to provide accurate yahrzeit dates.

Name

Relationship

Date of Death

Before SunsetAfter Sunset