Young Adult Individual
Please list the names and email addresses for the members of your household. One adult email is required per household.
If you are submitting this membership form on behalf of a family member or friend who does not have an email address, you may assign a proxy to receive email on behalf of this member. If this applies to you, please indicate so in the field provided.
All other contact information on this page is optional. Each email address (including childrens') provided will be automatically subscribed to our "Putra's Post" e-newsletter. You may unsubscribe at any time.
Everyone listed below with an email address will also receive a follow-up survey that will give you the opportunity to provide additional contact information and information about interests and skills.
Household Emergency Contact(s)
In the event of an emergency, the adult members of this household will always be the first emergency contact for any other adult or child in the household.
For additional safety and insurance purposes, please provide the name and contact information for at least one additional adult outside of your household. You may also provide alternate emergency contacts in the space provided.
The household emergency contact information will be stored in printed form at the temple office and in a secured centralized database accessible by authorized temple personnel.
As part of your membership you will be listed in the Mountain View Buddhist Temple Guidebook and Directory. This valuable resource is given to all Temple members when their membership is renewed. It is a guide to our organizations, services, programs, and a resource for connecting with others in the Temple.
Your name, address, primary phone, email, and cell phone will be included in the MVBT Guidebook and Directory. Select items below to Opt-Out of the directory.
NOTE: Email addresses for children will never be printed in the directory. They will only be used to deliver Putra's Post and temple announcements relevant to youth (ex: Dharma School events and meetings).
In order to make our membership more accessible this year, we are offering the following options.
If you need financial assistance, please contact the membership committee or Reverend Mukojima at email@example.com.
After you click "submit" below, you will receive an email with a copy of your form responses. Print this email and mail it with your check to:
MVBT Membership575 N. Shoreline BlvdMountain View, CA 94043
Please make your check payable to MV Buddhist Temple and write, "2021 Membership" on the memo line on your check.
(Note: These instructions will also be sent to you in the confirmation email)
After you click "submit" below, you will receive an email confirming your membership. Within a few days, you will receive a separate email that will provide you with further instructions on how to make your first payment.