Temple Concord Membership Application - Form - Temple Concord

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Temple Concord Membership Application

Please verify reCaptcha before submitting the form.

Thank you for your interest in joining Temple Concord

Being a member of Temple Concord means you have a spiritual home. You will find here a welcoming, inclusive congregational family and we are excited about the prospect of getting to know you. We are a vibrant, growing congregation with a long history of over 180 years.

ADULT 1 INFORMATION

Title

Please only include if other than Mr/Mrs/Ms

* First Name

Nickname

Middle Name

* Last Name

* Email Address

* Cell

Birthdate

Maiden Name

Hebrew Name

Tribe at Birth

Father Hebrew Name

Mother Hebrew Name

Conversion Date (if applicable)

Business Name

Occupation

Business Phone

Special Skills or Areas of Expertise

ADULT 2 INFORMATION (IF NEEDED)

Title

Please only include if other than Mr/Mrs/Ms

First Name

Nickname

Middle Name

Last Name

Email Address

Cell

Birthdate

Maiden Name

Hebrew Name

Tribe at Birth

Father Hebrew Name

Mother Hebrew Name

Conversion Date (if applicable)

Business Name

Occupation

Business Phone

Special Skills or Areas of Expertise

HOUSEHOLD INFORMATION

* Home Street Address

* City

* State

* Zip Code

Home Phone Number

Marital Status

Anniversary

CHILDREN

How many children do you have?

Child 1

First Name

Middle Name

Nickname

Last Name

Hebrew Name

Gender

Birthdate

Mobile (if applicable)

Email (if applicable)

Bris / Baby Naming / Conversion Date

School Name (if applicable)

School Grade (if applicable)

Child 2

First Name

Middle Name

Nickname

Last Name

Gender

Birthdate

Mobile (if applicable)

Email (if applicable)

Bris / Baby Naming / Conversion Date

School Name (if applicable)

School Grade (if applicable)

Child 3

First Name

Middle Name

Nickname

Last Name

Gender

Birthdate

Mobile (if applicable)

Email (if applicable)

Bris / Baby Naming / Conversion Date

School Name (if applicable)

School Grade (if applicable)

Child 4

First Name

Middle Name

Nickname

Last Name

Gender

Birthdate

Mobile (if applicable)

Email (if applicable)

Bris / Baby Naming / Conversion Date

School Name (if applicable)

INTERESTS AND ACTIVITIES

Adult 1: Please check off the boxes to let us know which committees might interest you-

BrotherhoodCaring: Supporting members in needChoirFinance & BudgetingGreeters: For servicesLibraryAdult Education - Helps create classes and learning opportunities for adultsMembershipReligious SchoolRitualSisterhoodSocial ActionYouth GroupsBlood Drive - Help run our annual blood driveBuilding and Grounds - Help with landscapingPublicity - Help with marketingFund RaisingSocial and Cultural Events - Help plan and coordinate events

Adult 2: Please check off the boxes to let us know which committees might interest you-

BrotherhoodCaring: Supporting members in needChoirFinance & BudgetingGreeters: For servicesLibraryAdult Education - Helps create classes and learning opportunities for adultsMembershipReligious SchoolRitualSisterhoodSocial ActionYouth GroupsBlood Drive - Help run our annual blood driveBuilding and Grounds - Help with landscapingPublicity - Help with marketingFund RaisingSocial and Cultural Events - Help plan and coordinate events

Any additional information you would like to share with us, including current and/or past family members at Temple Concord

In case of emergency, please contact:

Thank you for taking the time to share your information.
Please expect a call from Diane Sacks once this information has been reviewed.
We look forward to sharing many years of spiritual experiences together.
Feel free to be in touch by emailing diane@templeconcord.org or (315) 475-9952 x 309.

Mon, September 25 2023 10 Tishrei 5784

Temple Society of Concord
910 Madison Street
Syracuse, New York 13210
P: (315)-475-9952
F: (315)-475-9954

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