Temple Shalom does not deny membership because of financial need.
If you will be needing Special Financial Arrangements and have not filled out the Special Arrangement Request Application, please do so BEFORE continuing this form, by clicking HERE. Thank you

If you need help filling out the form, please contact the office at (973) 584-5666 or administrator@tshalom.org. Thank you!

Account Information

* First Name_Adult 1

* Last Name_Adult 1

* Birth Date_Adult 1

* Mobile Phone_Adult 1

* Home Phone_Adult 1

* Email_Adult 1

* Address 1

Address 2

* City

* State

* Zip

* 1. Would you like to add another adult to your account?

NOTE: Either as the second member on your account; or just as another contact for Temple Shalom.

* First Name_Adult 2

* Last Name_Adult 2

* Birth Date_Adult 2

* Mobile Phone_Adult 2

* Home Phone_Adult 2

* Email_Adult 2

* 2. Are there any children you would like associated with your account?

3. Please select the # of children

First Name_Child 1

Last Name_Child 1

Birth Date_Child 1

First Name_Child 2

Last Name_Child 2

Birth Date_Child 2

First Name_Child 3

Last Name_Child 3

Birth Date_Child 3

First Name_Child 4

Last Name_Child 4

Birth Date_Child 4

* 4. Will you be registering your child(ren) for Temple Shalom's Religious School?

Please Select OneYesNo

Religious School Registration Part 1

Religious School Registration Part 2 Deadline is July 30th

This is Part 1 in Religious School Registration. Upon submission of this form you will receive a confirmation email with the link to Part 2: Religious School Registration Form 2020-2021 (5781), please submit both forms to be fully registered for Religious School.

* 1. Please select the grade(s) your child(ren) will be attending in Religious School this upcoming year:

* 2. Are you interested in enrolling your child(ren) in Distance Learning for Hebrew?

Please Select OneYesNoGrades 3-7 only
Please CLICK HERE for details.

* 3. Please select grade(s):

3rd 4th5th6th7th

Once you have selected the grade(s), you will receive a separate email with a Contract for 2020-2021 Distance Learning for Hebrew.
The cost of this course is an additional $500 on top of tuition.

Membership Information

* 1. Membership Category:

* 2. Voucher Obligation:

* 3. Payment Plan Options

* 4. Would you like to donate the 2% discount to Temple Shalom.

Please Select OneYesNoWe will bill you for the full amount, if yes.

If you are having trouble viewing the image, please CLICK HERE.

Member Acknowledgement

Your Estimated Obligation

*You will be billed separately for your building fund (if applicable).
**If you are in the process of requesting Special Arrangements, this amount does not reflect your Obligation.

* By checking this box, I hereby acknowledge that:

By checking this box, I hereby acknowledge that:

All information provided is accurate to the best of my knowledge.
In the future, Temple Shalom Membership shall automatically renew at the start of the fiscal year, July 1st.
I am responsible for all financial obligations that I incur with Temple Shalom.
Special Arrangements do not renew automatically and must be requested each year (with supporting documentation), before the start of the fiscal year, July 1st. In the absence of a request and all supporting documentation from me, Temple Shalom will assume my financial hardship has been resolved and I will be renewing my full membership contribution to the community.
Temple Shalom Membership renewal will be done at the same membership category, same prevailing dues level, and with the same payment method at the time of renewal, unless I inform Temple Shalom in writing before the start of the fiscal year, July 1st.
It is my responsibility to contact Temple Shalom if there are any changes to my payment method, membership status, and/or information concerning members of my household.

Temple Shalom New Membership Application

Account Information

Religious School Registration Part 1

Once you have selected the grade(s), you will receive a separate email with a Contract for 2020-2021 Distance Learning for Hebrew. The cost of this course is an additional $500 on top of tuition.

Membership Information

Member Acknowledgement

Once you have selected the grade(s), you will receive a separate email with a Contract for 2020-2021 Distance Learning for Hebrew.
The cost of this course is an additional $500 on top of tuition.