Join Temple Israel - Temple Israel of Albany

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Temple Israel Membership Application Form

We are delighted you are considering membership at Temple Israel. Please fill out the application below.
Please note there is a $180 fee required with the application which will go towards your annual dues.

*=required

* Title

If other, please specify

* Last Name

* First Name

Middle Initial

Preferred Name

Date of Birth

Hebrew Name (Hebrew or Transliteration)

* Ben/Bat

Parents Hebrew Name (Hebrew or Transliteration)

* Do you identify as:

Home Phone

Mobile Phone

Work Phone

Which is your preferred phone number?

* Address

* City

* State

* Zip

* Email Address (only used for Temple Israel notifications and kept confidential)

Occupation

Firm/Company Name

Retired

Marital Status

If Married, please enter the anniversary date

* Religious Background

* How long have you been a resident of the Capital District?

* How did you hear of Temple Israel?

Is there another adult applicant?

* Title

If other, please specify

* Last Name

* First Name

Middle Initial

Preferred Name

Date of Birth

Hebrew Name (Hebrew or Transliteration)

* Ben/Bat

Parents Hebrew Name (Hebrew or Transliteration)

Home Phone

* Work Phone

* Cell Phone

Which is your preferred phone number?

* Do you identify as:

If the address is the same as above feel free to leave this section blank.

Address

City

State

Zip

* Email Address ( is used for Temple Israel notifications and kept confidential)

* Occupation

* Firm/Company Name

Retired

Marital Status

If married, please enter the anniversary date

* Religious Background

* Do you have any children?

* Last Name

* First Name

Middle Name

Preferred Name

Hebrew Name (Hebrew or Transliteration)

Ben/Bat

Parents Hebrew Name (Hebrew or Transliteration)

* Date of Birth

Email Address

* Is this child living at the address above?

If no, please indicate the address

Name of School

Current Grade

* Are you interested in enrolling your child in Religious School?

* Last Name

* First Name

Middle Initial

Preferred Name

* Hebrew Name (Hebrew or Transliteration)

Ben/Bat

* Parents Hebrew Name (Hebrew or Transliteration

Date of Birth

Email Address

* Is this child living at the address above?

If no, please indicate the address

Name of School

Current Grade

Last Name

First Name

Middle Initial

Preferred Name

Hebrew Name (Hebrew or Transliteration)

* Ben/Bat

Parents Hebrew Name (Hebrew or Transliteration)

Date of Birth

Email Address

* Is this child living at the address above?

If no, please indicate the address

Name of School

Current Grade

* Are you interested in enrolling your child in Religious School?

Last Name

* First Name

Preferred Name

Hebrew Name (Hebrew or Transliteration)

* Ben/Bat

Parents Hebrew Name (Hebrew or Transliteration)

Date of Birth

Email Address

* Is this child living at the address above?

If no, please indicate the address

Name of School

Current Grade

* Are you interested in enrolling your child in Religious School?

Last Name

First Name

Preferred Name

Hebrew Name (Hebrew or Transliteration)

* Ben/Bat

Parents Hebrew Name (Hebrew or Transliteration)

Date of Birth

* Is this child living at the address above?

If no, please indicate the address

Name of School

Current Grade

Last Name

Preferred Name

Hebrew Name (Hebrew or Transliteration)

* Ben/Bat

Parents Hebrew Name (Hebrew or Transliteration)

Date of Birth

* Is this child living at the address above?

If no, please indicate the address

Name of School

Current Grade

* I/We wish to join the following membership category:

If you have questions regarding the dues structure,

please call the Executive Director at (518) 438-7858.

* I/we here with apply for membership at Temple Israel of Albany New York, and when accepted, I/we promise to abide by the rules and regulations of the synagogue. I/we agree to pay annual dues as fixed by the Temple Israel Board of Trustees, in accordance with the by-laws of the synagogue. This application must be accompanied by a deposit of $180.00 towards the annual dues for your first year of membership.

I/we here with apply for membership at Temple Israel of Albany New York, and when accepted, I/we promise to abide by the rules and regulations of the synagogue. I/we agree to pay annual dues as fixed by the Temple Israel Board of Trustees, in accordance with the by-laws of the synagogue. This application must be accompanied by a deposit of $180.00 towards the annual dues for your first year of membership.

Total Due

Fri, October 31 2025 9 Cheshvan 5786

600 New Scotland Ave

Albany, NY 12208

(518) 438-7858

tidirector@tialbany.org

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Temple Israel Membership Application Form