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B'ShERT Membership Application

Household Information
Please let us know how to contact you and where you are!
If you do not have a home phone number, please enter the primary cell phone number for your family.
If you are a past member of B'ShERT or one of its predecessor synagogues (PTBAS, TBE, or others), please select Yes and write in the years of your previous membership. 

Adult 1 (Primary) Information
May we send you text messages for urgent updates?
One of the ways we alert members to urgent Temple news, events, and the weekly service schedule is through our automated phone system. Would you like to receive these messages? (You can change your preference at any time by contacting the Temple office.)

Additional Family Members

Adult 2 Information
May we send you text messages for urgent updates?

Child 1 Information (Under 18)

Child 2 Information (Under 18)

Child 3 Information (Under 18)

Child1 Information (Over 18)

Child 2 Information (Over 18)

Child 3 (Over 18) Information

Yahrzeit Information
Once your membership application is approved, you may add Yahrzeits for family & friends via our portal at 

Additional Information
May we include your family in our Congregational Directory?
If you know the Hebrew names of your family members, please add them here.
If you are interested in being trained as a lay leader for services, please let us know.

Membership Category and Payment Information
Membership categories vary depending on the number of adults in the household and the age of the oldest spouse/partner.

Family Membership: 

(1) or (2) adults + children under 23 living at home
Family tickets for High Holiday services

Single Membership:

(1) adult
(1) ticket for High Holiday services

Under 35 Family Membership:

2 adults BOTH under 35 years old
Includes children under 23 living at home
(2) tickets for High Holiday services

Under 35 Single Membership:

(1) adult under age 35
(1) ticket for High Holiday services

Memberships also include a subscription to the B'ShERT Newsletter, a listing in the Temple Member Directory (unless declined), voting privileges at Congregational Meetings, support from Temple clergy, ability to purchase a cemetery plot at lower cost, and other privileges as set forth in the B'ShERT bylaws.

Half the annual dues, Building Fund Charges, and Religious School tuition (if applicable) are due upon acceptance of this application. If you wish to make other payment arrangements, please contact the office to schedule a conversation with the Temple president or treasurer.

Associate Membership ("Zoom membership") is available only to individuals or families who do not live in the five boroughs of New York City. Please contact the office prior to applying for Associate Membership to verify eligibility. Associate Membership excludes voting rights and certain other rights of full Membership.

I/We hereby apply for membership to Beth Shalom v’Emeth Reform Temple and I/we will promptly contribute one half of our annual dues & other obligations when our membership is approved. I/We will pay the remaining half of our financial obligation within six months. I/We agree to abide by all Bylaws, Rules and Policies affecting Temple members and, unless other financial arrangements have been made, agree to stay current with the financial obligations as documented in this membership form or in other programs with B'ShERT.

Please check the box for each adult in your household to indicate your agreement.

Upload a photo!

Please upload a recent family photo here. We can accept JPEG or PNG files. This photo will not be shared publicly; it is just for our rabbi and officers to be able to see and start to know our new members. Thank you! 
You can upload a maximum of 1 files.
Fri, May 24 2024 16 Iyyar 5784