Membership Application 32 & Under - Form

IF YOU ARE A MEMBER, PLEASE LOGIN.

This will insure proper credit to your account. Login at the top right corner. If you are accessing this form through your phone, click the 3 line menu at the top right corner.

Are you registering 2 adult members?

* Full Name

Adult Member 1

* Full Name

Adult Member 2

* Gender

Please Select OneMaleFemale Other

* Gender

Please Select OneMale FemaleOther

If Other, Please Specify

Pronouns (Choose 1)

HimHerThem

Pronouns (Choose 1)

HimHerThem

* Date of Birth

Date of Birth

Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

* Religion

* Preferred Name

* Address

* City

* State

* Zip

Home Phone

* Cell Phone

* Email

Occupation

Employer

Business Address

Wedding Anniversary

Do you have a preference for which Rabbi contacts you? An introductory conversation with one of our rabbis is required to fully process your membership application.

Rabbi Spike Anderson Rabbi Rachael MillerRabbi Max MillerNo Preference

Are you registering a child or children?

Child Member 1

Child Member 2

Child Member 3

Gender

MaleFemale

Gender

MaleFemale

Gender

MaleFemale

Date of Birth

Religion

Hebrew Name

School Name

Grade

Yahrzeit Information

Please complete this section if you would like to be reminded of the anniversary of the death of a sibling, spouse, parent or child. You will be notified according to the Hebrew Calendar.

Name of Deceased

Relationship To You

Date of Death

Time of Death

Before SundownAfter Sundown

Time of Death

Before SundownAfter Sundown

Time of Death

Before SundownAfter Sundown

If there are additional Yahrzeit's for a sibling, spouse, parent or child you'd like us to have on file, please email Candace McCullough at (cmccullough@templeemanuelatlanta.com) with the information mentioned in this section.

Special Circumstances or Needs

Please use this space to share any special circumstances or needs not addressed anywhere above.

Volunteer Interest Form

I am interested in the following areas (check all that apply) :

Please list other talents you would like to share with the congregation or any ideas, comments or suggestions.

* How did you hear about Temple Emanu-El?