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TBS Tishrei Membership Registration Form 5783

Welcome to Temple B'nai Shalom. We are excited you will be joining us for the High Holy Days and look forward to welcoming you.

The Tishrei Membership is a membership that lasts from the moment you come on board through Simchat Torah on Oct 18, 2022, which is the last holiday in the Jewish month of Tishrei.

Your Tishrei Membership includes High Holy Day tickets, access to temple events and receiving the temple's emails. 

We hope you will take full advantage of your Tishrei Membership and all the TBS has to offer. If you decide to join TBS after having a Tishrei Membership, we will credit the cost of the membership to your dues.

We are looking forward to having you be part of the TBS family for as long as you wish to join in.


Please provide the preferred pronouns for every person in parentheses after each individual's name.

In the boxes below, please enter below the number of people in your household, including yourself, who will be attending each of the services in-person.

(Children up to age 22 are included in your family Tishrei Membership. Children over 23 are eligible for their own membership which includes High Holy Day tickets.)

Email Ira Goldberg if you have questions or for more information. 

Rosh HaShanah Services
Yom Kippur
This is a series of programs. You can choose to attend as many as you would like during that time period.

TBS has a vaccine or negative test policy for admittance to the building. Please upload the vaccine card of everyone who will be attending in-person in the space below. If you are not vaccinated, you will need to present a negative test result taken no more than 48 hours before the service you are attending. A picture of the result with a time and date stamp is sufficient. 

The vaccine or test policy is in effect for everyone ages 6 months and over.
Children ages 6 months to 5 years old need to have at least one shot.
Everyone over age 5 should be fully vaccinated.
Please check here
If you have not yet provided TBS with your vaccine status, please use the box below to upload a copy of your vaccine card.

Please enter the amount due for your Tishrei Membership and pay the membership contribution when you complete the form.


TBS reserves the right to approve or reject all membership applications at its own discretion. Membership is limited to individuals who are Jewish and their family/household members.
We look forward to celebrating with you. Please email Ira Goldberg with any questions.
Tue, September 27 2022 2 Tishrei 5783