Membership Form - Form

Welcome to the Oseh Shalom family! Skip any sections that don’t apply. Not ready for membership? We can add you to our mailing list.

Other Membership type or Not Sure

Member A

* Last Name

* First Name

* Mobile Phone

* Email

* Street Address

* City

* State

* Zip

* Home Phone

Marital Status

Wedding Anniversary Date

Birth Date

Gender/Preferred Pronoun

Religion

JewishNon-Jewish

Occupation

Member B

Last Name

Preferred First Name

Phone

Birth Date

Gender/Preferred Pronoun

Religion

JewishNon-Jewish

Occupation

Children Under Age 26

Yahrzeit (Remembrance) Notification Desired for the Following Loved Ones. (Click + to enter info.)

Deceased name

Observer's Name

Relationship

Date of Death

Before or After Sundown if known

Before SundownAfter Sundown

If you or your spouse/partner belonged to another congregation(s) as an adult, please let us know its name if known and/or affiliation (reform, conservative, etc.)

How did you find out about Oseh Shalom?

Why did you decide to join Oseh Shalom?

Does anyone in your family have mobility, diet or other special needs we can work to accommodate?

Would you like to meet with the Religious School Director, Rabbi Rebecca?

NoYes

Would you like to speak to Rabbi Daria or Rabbi Josh?

NoYes

If yes, which Rabbi?

No PreferenceRabbi DariaRabbi Josh

New Member due are 50 percent of normal with no building fund to give you a year to really get to know us. We will work with you if even that much is a challenge. Finances should not be a barrier to joining our family. For dues info, please contact us. We are inline with area synagogues and our school is discounted.