Membership - Temple Emanu-El

Join our community!

We are honored by your interest in Temple Emanu-El.

Please call 315-724-4177 or email our Temple office at teuticaoffice@gmail.com for more information about Membership. A Membership Committee member will be delighted to answer any questions you might have.

Getting to Know You

Welcome to Temple Emanu El’s new on-line application. The temple leadership would like to use this form for both new members and current members to consolidate and update the demographic information that the temple office has on each of us. We appreciate you filling this out to help us help you have the most enriching temple experience possible!

First Name:

Last Name:

Preferred Pronouns:

Marital Status:

Date of Birth:

Email:

Phone:

Mobile:

Street Address:

City:

State:

Zip Code:

Full Hebrew Name: (Please include your parent's hebrew name. Example: Rachel bat Leib and Nachama or Yitzhak ben Lev and Leah )

Previous Synagogue Affiliation:

Space

Please List All Other Household Members (Including Children)

Family Member #1

Name:

First Last

Date of Birth:

Preferred Pronouns:

Previous Synagogue Affiliation:

Phone:

Mobile:

Email:

Full Hebrew Name: (Please include your parent's hebrew name. Example: Rachel bat Leib and Nachama or Yitzhak ben Lev and Leah )

Family Member #2

Name:

First Last

Date of Birth:

Preferred Pronouns:

Previous Synagogue Affiliation:

Phone:

Mobile:

Email:

Full Hebrew Name: (Please include your parent's hebrew name. Example: Rachel bat Leib and Nachama or Yitzhak ben Lev and Leah )

Family Member #3

Name:

First Last

Date of Birth:

Preferred Pronouns:

Previous Synagogue Affiliation:

Phone:

Mobile:

Email:

Full Hebrew Name: (Please include your parent's hebrew name. Example: Rachel bat Leib and Nachama or Yitzhak ben Lev and Leah )

Family Member #4

Name:

First Last

Date of Birth:

Preferred Pronouns:

Previous Synagogue Affiliation:

Phone:

Mobile:

Email:

Full Hebrew Name: (Please include your parent's hebrew name. Example: Rachel bat Leib and Nachama or Yitzhak ben Lev and Leah )

If you have more household members, please place their information in the text box below or list children not living in your household:

Space

Yahrzeit Information

Yahrzeit #1

Full Name

Family Relationship

Date of Death

Time of Death (Before or After Sundown)

Yahrzeit Read On:

Yahrzeit #2

Full Name

Family Relationship

Date of Death

Time of Death (Before or After Sundown)

Yahrzeit Read On:

Yahrzeit #3

Full Name

Family Relationship

Date of Death

Time of Death (Before or After Sundown)

Yahrzeit Read On:

Yahrzeit #4

Full Name

Family Relationship

Date of Death

Time of Death (Before or After Sundown)

Yahrzeit Read On:

For any additional Yahrzeits you want listed, please enter the information in the text box below:

Space

Other Information

Interests

Interfaith Initiatives

Israel

Adult Learning

Social Justice

Worship

Torah Study

Choir

Religious School

Fundraising

Other Interests

I agree that this information can be used in a directory for the congregants only.

Please let us know what information you do not want published.