Temple Sinai New Member Application 2023-2024 - Form

208 Summit Avenue
Summit, NJ 07901

We are so happy you have made the decision to join Temple Sinai!

We look forward to sharing holidays, joyous occasions and opportunities for learning.

ADULT 1 INFORMATION

Adult 1 Title

* Adult 1 First Name

* Adult 1 Last Name

* Adult 1 Date of Birth

* Home Street Address

* City

* State

* Zip Code

Home Phone Number

* Marital Status

* Adult 1 Email Address

* Adult 1 Cell Phone Number

* Adult 1 Occupation

Adult 1 Business Name

Adult 1 Business Phone Number

* Adult 1 Special Skills or Areas of Expertise

ADULT 2 INFORMATION

Adult 2 Title

Adult 2 First Name

Adult 2 Last Name

Adult 2 Date of Birth

Adult 2 Email Address

Adult 2 Cell Phone Number

Adult 2 Occupation

Adult 2 Business Phone Number

Adult 2 Business Name

* Adult 2 Special Skills or Areas of Expertise

FAMILY INFORMATION

Child 1 First Name

Child 1 Preferred Name

Child 1 Last Name

Child 1 Date of Birth

Child 1 Gender

Child 1 Grade

Child 2 First Name

Child 2 Preferred Name

Child 2 Last Name

Child 2 Date of Birth

Child 2 Gender

Child 2 Grade

Child 3 First Name

Child 3 Preferred Name

Child 3 Last Name

Child 3 Date of Birth

Child 3 Gender

Child 3 Grade

Child 4 First Name

Child 4 Preferred Name

Child 4 Last Name

Child 4 Date of Birth

Child 4 Gender

Child 4 Grade

Is there anything else you would like to share with us?

YAHRZEIT INFORMATION
Please share the names of those whose yahrzeit you would like to observe.
We will notify you when your loved one will be remembered during the service.

Name of Yahrzeit 1

Relationship to Yahrzeit 1

Date of passing for Yahrzeit 1

Observe on Hebrew or English Date?

EnglishHebrew

Name of Yahrzeit 2

Relationship to Yahrzeit 2

Date of passing for Yahrzeit 2

Observe on Hebrew or English Date?

EnglishHebrew

Name of Yahrzeit 3

Relationship to Yahrzeit 3

Date of passing for Yahrzeit 3

Observe on Hebrew or English Date?

EnglishHebrew

Name of Yahrzeit 4

Relationship to Yahrzeit 4

Date of passing for Yahrzeit 4

Observe on Hebrew or English Date?

EnglishHebrew

Please enroll me/my family in Temple Sinai’s membership for the year July 1, 2023 to June 30, 2024 in the following membership category:

Family/Couple Membership: Couple with or without children attending Religious School under age 26; adults under the age of 65: $3,140.ECEP Membership: Couple/single family with a child enrolled in the ECEP program. Available until the eldest child enters 1st grade. (Membership dues ($2920) will be waived and covered through ECEP tuition)Single Parent Family Membership: One single parent under the age of 65, and all children under age 26: $1,975.Individual Adult Membership: Single adult under the age of 65 with no children attending Religious School: $1,675.Senior Couple Membership: Couple after either partner reaches age 65: $1,815.Senior Individual Membership: Single adult over age 65: $1,110.Young Family/Couple Membership: Head of household under 35 years of age and/or the oldest child is in Public School in 2nd grade and/or younger: $1,085.Long Distance Membership: > 50 miles: $250.

Payment Plans:

Single Payment (Due July 1)Two Payments (Due July 1 and January 1)Quarterly (Due July 1 October 1 December 1 and April 1)Other

* Please make checks payable to “Temple Sinai.” If paying by credit card, a 3% credit card fee will be added.

* All members are charged a $100 security fee

The total Building Fund obligation for new members is $3000 payable over five years at $600 per year. The Building Fund obligation is required of all new members. It is deferred for members in category 2 and 7. It is waived for members who have already completed their Building Fund obligation to Temple Sinai or to another congregation affiliated with the URJ (verification required).

By signing this application, I/we agree to assume all financial obligations for dues, building fund, tuition, pledges, and assessments, as properly assessed by Temple Sinai of Summit.