PERSONAL INFORMATION - ADULT APPLICANT 1
Please fill out completely.
RELIGIOUS BACKGROUND - Adult Applicant 1
EMPLOYMENT INFORMATION (OPTIONAL) - Adult Applicant 1
YAHRZEIT INFORMATION - Adult Applicant 1
PERSONAL INFORMATION - ADULT APPLICANT 2
RELIGIOUS BACKGROUND - Adult Applicant 2
EMPLOYMENT INFORMATION (OPTIONAL) - Adult Applicant 2
YAHRZEIT INFORMATION - Adult Applicant 2
To skip this section if it does not apply, click "Next" at the bottom of this page.
If you have more than six (6) children, please list any additional in a separate email to firstname.lastname@example.org
Pillar of the Temple
A Pillar of the Temple voluntarily pays above-standard membership dues, enabling us to honor our mission of being “A House of Prayer for All Peoples,” regardless of financial ability.
CLICK HERE TO DOWNLOAD AUTOMATIC DRAFT (ACH) FORM (PDF)(Form will pop up in a new tab or window)
Photo, Video, Audio & Media Release Terms:
I hereby authorize Ohef Sholom Temple (the “Temple”) to use my/our likeness(es) and/or the likeness(es) of my child(ren) and/or legal ward(s) with or without my, his/her/our/their name(s) in any and all of its publicity without payment, royalties, other compensation, or any other consideration. I also understand that by signing this release form, I grant Ohef Sholom Temple the right to edit, alter, copy, exhibit, publish or distribute any likeness(es) for purposes of publicizing the Temple’s congregational events. In addition, I also waive the right to inspect or approve the finished product of any publicity materials, whether written or electronic.
I also hereby agree to hold harmless, release and forever discharge Ohef Sholom Temple from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. This authorization is on-going, without any additional restrictions or limitations, unless revocation is provided in written form to the Executive Director of Ohef Sholom Temple.
Acceptance of Terms: