Temple Emeth
5780 West Atlantic Avenue, Delray Beach, FL 33484
Membership Application (PLEASE PRINT)
Date___________________
Family Name______________________ Single Married Widowed Divorced
Home Address_____________________________________ Home Phone___________
City______________________ State______ Zip________ Community______________
Other Address____________________________________ State________ Zip________
Other Phone______________ Months There_________ E-Mail Address____________
_
Emergency Contact____________________ Relationship___________ Phone________
Male
First Name _______________________
Hebrew Name_____________________ Kohen Levi Israelite
Father’s Hebrew Name _____________
Mother’s Hebrew Name ____________
Birthday ___/___/___
Occupation/Former Occupation _________________________________
Education ________________________
Hebrew Education _________________
Yiddish Education _________________
Military Veteran___________________
Holocaust Survivor Yes No
Hagbah (Lifting Torah) Yes No
Chant Haftorah Yes No
Read Torah Yes No
Activities & Interests (Please Check) Male Men’s Club/Brotherhood
Adult Education
Choir
Computer/IT
Finance
Fund Raising/Ways & Means
Hospitality
Membership
Publicity
Read /Speak ○Hebrew ○Yiddish
Ritual
Security
Sunshine
Ushering
Special Interests | Female First Name _______________________
Hebrew Name_____________________ Kohen Levi Israelite
Father’s Hebrew Name _____________
Mother’s Hebrew Name ____________
Birthday ___/___/___
Occupation/Former Occupation _________________________________
Education ________________________
Hebrew Education _________________
Yiddish Education _________________
Military Veteran___________________
Holocaust Survivor Yes No Hagbah (Lifting Torah) Yes No
Chant Haftorah Yes No
Read Torah Yes No
Wedding Anniversary ___/___/___ Activities & Interests (Please Check) Female Sisterhood
Adult Education
Choir
Computer/IT
Finance
Fund Raising/Ways & Means
Hospitality
Membership
Publicity
Read /Speak ○Hebrew ○Yiddish
Ritual
Security
Sunshine
Ushering
Special Interests |