Membership Application

We are thrilled that you are joining Peninsula Temple Sholom. Before completing this form, you have probably talked with a member of our staff who shared with you this link. If not, and you have questions, please contact Karen Wisialowski, Chief Community Officer, at cco@sholom.org.

Per PTS bylaws:
a) Any adult who (i) identifies as Jewish or is a member of a Household that includes or previously included anyone who identifies as Jewish, (ii) seeks to be associated with a Jewish faith community, and (iii) supports PTS’s vision, mission, and values, may be admitted as a member of the Congregation (a "Member") upon approval of the Board (as defined in Article VIII, Section 8) in accordance with policies adopted from time to time by the Board.

As you complete the form below, additional screens will pop open as needed. You will receive a confirmation email after you make your final submission.

* Address

* City

* State

* Zip Code

Landline

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Relationship

* Are you new to the area?

* Adult 1 - Title

* Adult 1 - First Name

* Adult 1 - Last Name

Adult 1 - Nick Name

* Adult 1 - Date of Birth

* Adult 1 - Are you Jewish?

Adult 1 - Hebrew Name

Adult 1 - Father's Hebrew Name

Adult 1 - Mothers's Hebrew Name

* Adult 1 - Tell us about your Jewish history

* Adult 1 - Tell us what you are hoping to gain from membership.

Adult 1 - Occupation

Adult 1 - Business Name

* Adult 1 - Preferred Phone

* Adult 1 - Preferred Email

We are glad that you are joining the PTS Community. Let us know a little more about your interests and talents in the section below. We want to help you make connections at PTS. Please let us know how we can help!

* Marital Status?

Anniversary, if married

Are you a Veteran?

* Is there a second adult/head of household in your family?

* Adult 2 - Title

* Adult 2 - First Name

* Adult 2 - Last Name

Adult 2 - Nick Name

* Adult 2 - Date of Birth

* Adult 2 - Is the second adult Jewish?

Adult 2 - Hebrew Name

Adult 2 - Father's Hebrew Name

Adult 2 - Mothers's Hebrew Name

Adult 2 - Tell us about the second adult's Jewish history

Adult 2 - Tell us what the second adult is hoping to gain from membership.

Adult 2 - Occupation

Adult 2 - Business Name

* Adult 2 - Preferred Phone

* Adult 2 - Preferred Email

We are glad that the second adult is joining the PTS Community. Let us know a little more about the second adult's interests and talents in the section below. We want to help the second adult make connections at PTS. Please let us know how we can help!

* Is the second adult a Veteran?

* How many children ages 29 and under live in your home?

* Child 1 - First Name

* Child 1 - Hebrew Name

* Child 1 - Last Name

* Child 1 - Gender Identity

* Child 1 - Birth Date

* Child 2 - First Name

* Child 2 - Hebrew Name

* Child 2 - Last Name

* Child 2 - Gender Identity

* Child 2 - Birth Date

* Child 3 - First Name

* Child 3 - Hebrew Name

* Child 3 - Last Name

* Child 3 - Gender Identity

* Child 3 - Birth Date

* Child 4 - First Name

* Child 4 - Hebrew Name

* Child 4 - Last Name

* Child 4 - Gender Identity

* Child 4 - Birth Date

* Child 5 - First Name

* Child 5 - Hebrew Name

* Child 5 - Last Name

* Child 5 - Gender Identity

* Child 5 - Birth Date

* Names of those who have died and for whom you observe Yahrzeit. Kaddish will be recited at the Shabbat immediately following the anniversary date. How many Yahrzeits would you like to remember?

Name

Hebrew Name

* Related to

Relationship

English Date of Death

Hebrew Date of Death

Before or After Sunset

Do you prefer to observe the English Date or the Hebrew Date?

Name

Hebrew Name

* Related to

Relationship

English Date of Death

Hebrew Date of Death

Before or After Sunset

Do you prefer to observe the English Date or the Hebrew Date?

Name

Hebrew Name

* Related to

Relationship

English Date of Death

Hebrew Date of Death

Before or After Sunset

Do you prefer to observe the English Date or the Hebrew Date?

Name

Hebrew Name

* Related to

Relationship

English Date of Death

Hebrew Date of Death

Before or After Sunset

Do you prefer to observe the English Date or the Hebrew Date?

Name

Hebrew Name

* Related to

Relationship

English Date of Death

Hebrew Date of Death

Before or After Sunset

Do you prefer to observe the English Date or the Hebrew Date?

Name

Hebrew Name

* Related to

Relationship

English Date of Death

Hebrew Date of Death

Before or After Sunset

Do you prefer to observe the English Date or the Hebrew Date?

We are thrilled that you are joining Peninsula Temple Sholom community. We count on your membership to support our community - daily operations, programs and activities - and ask that you support PTS to the best of your ability.

Please select a membership commitment level (Tuition is additional):

Annual membership commitment will be pro-rated quarterly for members who join after January 1.

We want to ensure that you remain a part of our congregational family. If you find yourself in a position where temple membership fees pose a challenge, please call Chief Community Officer Karen Wisialowski (cco@sholom.org or 650-697-2266) or Director of Finance & Operations Julie Orton (jorton@sholom.org or 650-697-2266), in confidence, to discuss special arrangements.

Please upload a family photo to share with the Board of Trustees.

Your photo will only be used for this single purpose.

New families choosing the Youth Education option above are required to pay the Facilities Assessment below.

For New Preschool families joining between January and June the Facilities Assessment will be billed in year 2.

Newly married couples will not be required to pay the Facilities assessment until year 2.

Tzedakah Circle members will be acknowledged and invited to a special event in their honor.

* In addition to membership commitment, a Facility Reserve Assessment of $300 per year (for first 10 years of membership) is payable today today and on July 1 of the next nine years.

* The Fine Print. Please check each box below.

Membership commitment and facilities reserve assessment are payable in full at the time of this application, and are invoiced on July 1 each year thereafter. Please let us know if you need to make alternative arrangements.Due to advance planning and budgeting, membership commitment is not refundable.Members must remain in good standing to be eligible for member services, including High Holy Day name badges, youth education, preschool at the member rate, and maintenance of b'nai mitzvah dates.By completing this application, I/we agree to abide by the Bylaws and other regulations of the Temple.

We are thrilled that you are joining our PTS Community! After you click submit, you will hear from a member of the PTS staff to welcome you and answer any of your questions. Meantime, please feel free to reach out directly to Karen Wisialowski, Chief Community Officer, at cco@sholom.org.

Total Membership Commitment and Facility Reserve $

CONTACT US!