Temple Ohabei Shalom New Member Form - Form

Welcome to Temple Ohabei Shalom! We are so excited to have you join our community. Please fill out the information below to the best of your ability.

Information regarding membership dues can be found here. If you are interested in our Ansin Religious School, follow this link for more information.

We are here to help, so if you have any questions, please don't hesitate to contact our office at 617.277.6610. Thank you and welcome home!

Section A: Membership Status

* What type of membership are you applying for?

Please Select OneFull-time StudentSingle - under age 32Couple - both under age 32Single - age 32 and upCouple - age 32 and upHoney Moon Israel Participant (2022-2023 Only)I/We previously enrolled in the Welcome MembershipChild enrolled in TCEE (our preschool program)
We welcome our members regardless of their financial circumstances. If our membership contribution rate poses a hardship for your family, need-based adjustments are available. Please contact our Executive Director for a confidential and caring discussion. The membership year begins July 1, and contribution expectations are subject to change at that time. Those who join after April 1 receive complimentary membership until the new membership year begins on July 1.

Any questions regarding membership should be directed to Cassie Dezii, our Membership and Engagement Coordinator.

Section B: Personal Information

Member 1 Information

* Are you registering MEMBER ONE as an adult or a child?

***AdultChild

* Salutation

Other - fill in the blank

* First Name

* Last Name

Hebrew Name (if applicable)

* Date of Birth

Other - fill in the blank

* Cell Phone

Home Phone

* Email

* Street Address

Street Address Line 2

* City

* State

* ZIP

Occupation (if applicable)

Religious Background

Member 2 Information

Is MEMBER TWO the secondary contact?

Please Select OneYes, at the same address as the primary contact.Yes, but at a different address than the primary contact.NoIf MEMBER TWO a secondary contact, all emails and mailings will go to both contacts.

Are you registering MEMBER TWO as an adult or child?

Please Select OneAdultChild
NOTE : Children are age 26 and younger.

Salutation

Other - fill in the blank

First Name

Last Name

Hebrew Name (if applicable)

Date of Birth

What pronouns does MEMBER TWO use?

She/herHe/hisThey/themOther

Other - fill in the blank

Cell Phone (if applicable)

Home Phone (if applicable)

Email (if applicable)

MEMBER TWO's Secular School

MEMBER TWO's Grade

Occupation (if applicable)

Religious Background

Salutation

Other - fill in the blank

First Name

Last Name

Hebrew Name (if applicable)

Date of Birth

What pronouns does MEMBER TWO use?

She/herHe/hisThey/themOther

Other - fill in the blank

Cell Phone

Home Phone

Street Address

Street Address Line 2

City

State

ZIP

Occupation (if applicable)

Religious Background

Member 3 Information

Are you registering MEMBER THREE as an adult or a child?

Please Select OneAdultChild
NOTE : Children are age 26 and younger.

Salutation

Other - fill in the blank

First Name

Last Name

Hebrew Name (if applicable)

Date of Birth

What pronouns does MEMBER THREE use?

She/herHe/hisThey/themOther

Other - fill in the blank

Cell Phone (if applicable)

Home Phone (if applicable)

Email (if applicable)

Occupation (if applicable)

Religious Background

MEMBER THREE's Secular School

MEMBER THREE's Grade

Member 4 Information

Are you registering MEMBER FOUR as an adult or a child?

Please Select OneAdultChild
NOTE : Children are age 26 and younger.

Salutation

Other - fill in the blank

First Name

Last Name

Hebrew Name (if applicable)

Date of Birth

What pronouns does MEMBER FOUR use?

She/herHe/hisThey/themOther

Other - fill in the blank

Cell Phone (if applicable)

Home Phone (if applicable)

Email (if applicable)

Occupation (if applicable)

Religious Background

MEMBER FOUR's Secular School

MEMBER FOUR's Grade

Member 5 Information

Are you registering MEMBER FIVE as an adult or a child?

Please Select OneAdultChild
NOTE : Children are age 26 and younger.

Salutation

Other - fill in the blank

First Name

Last Name

Hebrew Name (if applicable)

Date of Birth

What pronouns does MEMBER FIVE use?

She/herHe/hisThey/themOther

Other - fill in the blank

Cell Phone (if applicable)

Home Phone (if applicable)

Email (if applicable)

Occupation (if applicable)

Religious Background

MEMBER FIVE's Secular School

MEMBER FIVE's Grade

Member 6 Information

Are you registering MEMBER SIX as an adult or a child?

Please Select OneAdultChild
NOTE : Children are age 26 and younger.

Salutation

Other - fill in the blank

First Name

Last Name

Hebrew Name (if applicable)

Date of Birth

What pronouns does MEMBER SIX use?

She/herHe/hisThey/themOther

Other - fill in the blank

Cell Phone (if applicable)

Home Phone (if applicable)

Email (if applicable)

Occupation (if applicable)

Religious Background

MEMBER SIX's Secular School

MEMBER SIX's Grade

Section C: Background Information

How did you hear about Temple Ohabei Shalom?

Previous synagogue affiliation(s), including Temple Ohabei Shalom:

What are you looking for in a Temple?

Are there any accommodations you need in order to feel fully included in this community?

Do you have any relatives or friends who are/were TOS members? If so, please list them below.

What are your hobbies, skills and interests? Is there anything else you'd like us to know about you?

Section D: Permissions

Photo/Media Release

I/We give permission to Temple Ohabei Shalom to take photos of any family member, for use in publicity, website, social media, advertisements, or news coverage.

* Photo/Media Release

Please Select OneYesNo

Membership Directory

I/We give permission to Temple Ohabei Shalom to publish our names and contact information in the TOS Membership Directory, which is provided to members only.

* Membership Directory

Please Select OneYesNoThe names of all Adult Temple members will be included in the directory.

Section E: Congregation Community

You may have noticed that at the top of the form we begin with family information. This is intentional. When you come in the building and spend time learning and volunteering with us, it makes a powerful statement that Jewish learning is a lifelong process and that we are all on the same team in creating these experiences for your family. Don’t underestimate the subtle power of this statement!

* Would you like to be matched to an established TOS member to help get you oriented to our community?

Please Select OneYesNo

Is there an interest or life stage around which you would like to connect? (e.g. parents of toddlers, empty nesters, knitting, film, grief support, first-time B'nei Mitzvah, etc)

There are many volunteer opportunities at Temple Ohabei Shalom that range from ushering at Shabbat services to working our sign in table at monthly events. We are so happy you are now part of our community and want to extend the offer to volunteer with the rest of our lovely community.

* Are you interested in volunteering at TOS?

Yes, please tell me more!Yes, but maybe once I get settled.Not at this time, but thank you for asking.

Your involvement helps make us complete. Please check the areas you're curious about, and someone will be in touch to provide more information.

Section F: Yahrzeit Information

Community is one of our core values at Temple Ohabei Shalom. By welcoming you into our community, we open our hearts to those whom you have lost.

Please click the blue "Plus" button for each Yahrzeit you would like to add.

Name of Deceased

Relationship

Date of Yahrzeit

Hebrew or Secular Notification?

Please Select OneHebrew NotificationSecular Notification

Total Amount Due

For office use ONLY - Member ID