Membership Application

We are so happy you have made the decision to join the Har Zion community!

We look forward to sharing holidays, joyous occasions, opportunities for learning, and the general spirit of THZ that our members love.

Let's get started!

* indicates required field

* How many adults will be on this account?

Please selectOneTwo

Adult Applicant One

* Title

(e.g., Mr., Ms. Mrs., Mx., Dr., Prof., Hon., Rabbi, Cantor, etc.)

* First Name

Preferred First Name

How you preferred to be addressed if different from your given first name
(e.g., Josh vs. Joshua, Sue vs. Susan)

Middle Name (optional)

* Last Name

* Email Address

* Cell Number

000-000-0000

Facebook Name

Instagram Name

Twitter Handle

* Date of Birth

Gender

* Pronouns

Marital Status

* Are you Jewish?

* Is Adult One Jewish?

* Anticipated Conversion Date

(Month/Year)

Jewish Background

Hebrew Name

Use transliteration

Father's Hebrew Name

Use transliteration

Mother's Hebrew Name

Use transliteration

* Occupation

If retired, please indicate occupation pre-retirement

Are you Retired?

NoYes

Is Adult One Retired?

NoYes

Personal Skills | Hobbies | Interests

Relationship to Adult Two

Personal Photo

We will not publish your photo

Family Photo

We will not publish your photo

Adult Applicant Two

* Title

(e.g., Mr., Ms. Mrs., Mx., Dr., Prof., Hon., Rabbi, Cantor, etc.)

First Name

Preferred First Name (optional)

How you preferred to be addressed if different from your given first name
(e.g., Josh vs. Joshua, Sue vs. Susan)

Middle Name (optional)

Last Name

* Email Address

* Cell Number

000-000-0000

Facebook Name

Instagram Name

Twitter Handle

Date of Birth

Gender

* Pronouns

Relationship to Adult 1

Anniversary

* Is Adult Two Jewish?

* Anticipated Conversion Date

(Month/Year)

Jewish Background

Hebrew First Name

Use transliteration

Father's Hebrew Name

Use transliteration

Mother's Hebrew Name

Use transliteration

* Occupation

If retired, please indicate occupation pre-retirement

Is Adult Two Retired?

NoYes

Personal Skills | Hobbies | Interests

Address Information

* Address Line 1

Address Line 2

* City/Town

* Province

* Postal Code

Home Phone

000-000-0000

Do you have a winter address?

NoYes

Address

City/Town

Province/State

Postal Code/ZIP

Country

Dependent Children

Children of members up to the age of 29, if unmarried, or up to the age of 25, if married, are considered members under their parent's/parents' account.

* Will you be adding children to your account?

Please Select OneYesNo

Please click on the '+' sign to add your children

* First Name

* Last Name

Hebrew Name

Gender

* Date of Birth

Grade, if in Primary/Secondary School

Attends/Attended Jewish Day School?

NoYes

Which one?

Date of Bar/Bat Mitzvah (if applicable)

Date of Confirmation (if applicable)

Yahrzeit Information
Please provide the names of those whose yahrzeits you observe. We will notify you when your loved one(s) will be remembered during a service,

* Do you have yahrzeits that you observe?

Please Select OneYesNo

* Do you have yahrzeits that you observe?

Please Select OneYesNo

Please click on the '+' sign to add yahrzeits

First Name

Last Name

Relationship

(e.g., father, mother, etc.)

English Date of Death

After Sunset?

NoYes

Hebrew Date of Death

if uncertain or unknown, THZ will calculate

* Which date do you observe?

Please Select OneEnglish DateHebrew Date

* Observed by

Please Select OneAdult 1Adult 2

First Name

Last Name

Relationship

(e.g., father, mother, etc.)

English Date of Death

After Sunset?

NoYes

Hebrew Date of Death

if uncertain or unknown, THZ will calculate

* Which date do you observe?

Please Select OneEnglish DateHebrew Date

* How did you learn about Temple Har Zion?

Previous Synagogue (if applicable)

Are you related to a current or past member of Temple Har Zion?

NoYes

To Whom?

Have you been a member of Temple Har Zion previously?

NoYes

Have you been a member of Temple Har Zion previously?

NoYes

* Which applicant?

Please Select OneBoth of usAdult OneAdult Two

General Information

Welcome! How can we best make you feel at home?

Please tell us the most important things you want us to know about you

When your friends ask you next year, "What did you get out of your Har Zion membership", how do you hope to answer?

Acknowledgement

* I/We hereby apply for membership at Temple Har Zion and agree to abide by the By-Law of the congregation.

I/We hereby apply for membership at Temple Har Zion and agree to abide by the By-Law of the congregation. By checking this box, you acknowledge your application and agreement.

You may click here to view THZ's By-Law.

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