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TSE Membership Application

Personal Information

Member 1

Member 2

Click on month, date, year to type in change; or click on arrow at right of box to select from calendar.

Click on month, date, year to type in change; or click on arrow at right of box to select from calendar.


Address Information

Billing Address (if different)


Family Information

Children (please complete as it applies to each of your children residing with you)

1st Child

2nd Child

3rd Child

4th Child

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Adult Children (25 years or older) Not Residing With You

1st Child

2nd Child

3rd Child

4th Child


Other Adults in Your Household

1st Adult

2nd Adult

3rd Adult


Yahrzeit Information

Please list the names of loved ones for whom you wish Yahrzeit notices sent

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Religious Background (Optional)

Member 1

Member 2


Miscellaneous Information


Agreement

The undersigned hereby apply for membership in Temple Shaari Emeth and agree to comply with the rules and regulations of the Temple, and to pay and be responsible for the dues and full building assessments asĀ established by the Board of Trustees. It is understood that the full unpaid building fund assessment is due upon resignation, and resignations must be submitted in writing. B'nai Mitzvah dates are assigned and confirmed at the completion of 4th grade. It is further understood that any child attending our Religious School shall continue attending after Bar/Bat Mitzvah through Confirmation, which occurs at the end of 10th grade.Ā 

Writing your name here is the equivalent of your signature. You are agreeing to the above as conditions of membership.

Writing your name here is the equivalent of your signature. You are agreeing to the above as conditions of membership.

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