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Temple Shalom New Membership Application

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

Account Information

if applicable
Phonetically-- example Malka ben/bat Yakov/Yohevet
NOTE: Either as the second member on your account; or just as another contact for Temple Shalom. 

if past
if past

Religious School Registration Part 1

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 2021-2022 (5782), please submit both forms to be fully registered for Religious School.

Membership Information

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Member Acknowledgement

*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.
  • 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. 
Thu, September 29 2022 4 Tishrei 5783