Member A

* Prefix

* First Name

* Last Name

Preferred Name

Hebrew Name

* Preferred Pronouns

* Phone (Cell)

* Email Address

* Date of Birth

* Street Address

Address Line 2

* City

* State/Province/Region

* ZIP/Postal Code

* Religious Affiliation

Please Select OneJewishNot Jewish

Not Jewish

I am currently practicing a different religionI am not currently practicing any religionI am a participant in Jewish Life

Previous Synagogue Affiliation

Previous Synagogue Commitments

Board MemberCommittee MemberReligious School Teacher

Hebrew Background

Read HebrewChant TorahSpeak Hebrew

Occupation

Employer

Phone (work)

Marital Status

Anniversary (if applicable)

Member B

Prefix

First Name

Last Name

Nickname

Hebrew Name

Preferred Pronouns

Phone (Cell)

Email Address

Date of Birth

Different Address for Member B?

NoYes

Street Address

Address Line 2

City

State/Province/Region

ZIP/Postal Code

Previous Synagogue Affiliation

Board MemberCommittee MemberReligious School Teacher

Hebrew Background

Read HebrewChant TorahSpeak Hebrew

Occupation

Employer

Phone (Work)

Yahrzeit Information

How many yahrzeits do you observe?

If you need to add additional yahrzeits, we can add them after we receive your membership application.

Name

Relationship to Member

Member A/Member B

Date of Death

Name

Relationship to Member

Member A/Member B

Date of Death

Name

Relationship to Member

Member A/Member B

Date of Death

Name

Relationship to Member

Member A/Member B

Date of Death

Name

Relationship to Member

Member A/Member B

Date of Death

Family Information

Children Living At Home

* How many children do you have living at home?

If you need to add additional children, we can add them after we receive your membership application.

First and Last Name

Gender

Date of Birth

Secular School

H.S. Graduation Year

Email Address

(if applicable)

First and Last Name

Gender

Date of Birth

Secular School

High School Graduation Year

Email Address

(if applicable)

First and Last Name

Gender

Date of Birth

Secular School

High School Graduation Year

Email Address

(if applicable)

First and Last Name

Gender

Date of Birth

Secular School

High School Graduation Year

Email Address

(if applicable)

My children are not being rasied Jewish

Children Away from Home

* How many adult children do you have away from home?

Name

Date of Birth

Marital Status

Address

City/State/Zip

Name

Date of Birth

Marital Status

Address

City/State/Zip

Name

Date of Birth

Marital Status

Address

City/State/Zip

Name

Date of Birth

Marital Status

Address

City/State/Zip

Additional Information

Relatives in Congregation (not living in this household)

Name(s)

Relationship(s)

Are there any special needs in your family which we should be aware of? If yes, please explain:

Please list any additional adults in your household. Note: Adults over the age of 25 will not be added to your membership

Why did you choose Touro?

What are you hoping for by being a member of our congregation?

Do you have friends who are current Touro members? If so, please list below:

Would you like to be connected with an ambassador who can help you find your place at Touro?

YesNo, thanks

If yes, please indicate how you'd like to be contacted:

Via phone callVia textVia email

We have learned that "being asked" is a part of what makes our community special. What would you like to be asked to be part of? What programs or events? What volunteer opportunities? Anything else?

Touro Annual Commitment

As you reflect on your annual membership commitment associated with joining Touro, we invite you to consider the cost per household and the patron levels below.

Your generosity and intention help make Touro a vibrant community for all!

If the Cost per Household is not within your reach this year, please consider these suggestions:
• New Members and Young Households: $1,800 or $150*/month
• Out-of-Town Members: $720+ or $60*/month
• Students: $250 or $21*/month

*Payment amount based on 12 monthly payments
NOTE: Your annual support is a 100% tax-deductible charitable donation.

After we approve your membership application, we will send you an email to setup an online account and pay your pledge.

Touro Synagogue Membership Interest Form

Member A

Member B

Yahrzeit Information

Family Information

Additional Information

Touro Annual Commitment

As you reflect on your annual membership commitment associated with joining Touro, we invite you to consider the cost per household and the patron levels below. Your generosity and intention help make Touro a vibrant community for all!

As you reflect on your annual membership commitment associated with joining Touro, we invite you to consider the cost per household and the patron levels below.

Your generosity and intention help make Touro a vibrant community for all!