Membership Application – Step 2 | Or Shalom Synagogue

Welcome to Or Shalom! Your application was ratified by our board and now we would like to get to know you/you and your family. We would like to collect some information about you to support you (and any loved ones joining with you) in integrating into our community. *required fields
Do you have a single membership or a family membership?*
- Single
- Family
Single Membership
Name*
First Last
Email*
Do you have a Hebrew name? (in English letters):
Have you had a Bar/Bat/Simchat Mitzvah?
- Yes
- No
Do you recall when it was (Gregorian calendar)?
MM slash DD slash YYYY
Do you recall your Parsha?
What is/was your occupation?
What are your hobbies/passions?
Or Shalom is a participatory community. What skills and talents do you want to bring to our community?
In what ways do you hope to develop these skills and talents?
How many children (under age 19) are in your single membership?*
Please enter a number greater than or equal to 0.
Child 1 Name*
First Last
Hebrew name (in English letters)?
If your child has had a Bar/Bat/Simchat Mitzvah, what was the Parsha?
Would you like your child to have a Bar/Bat/Simchat Mitzvah?
- Yes
- No
What are your child’s hobbies/passions?
In what ways would you like your child to develop Jewishly?
Child 2 Name*
First Last
Hebrew name (in English letters)?
If your child has had a Bar/Bat/Simchat Mitzvah, what was the Parsha?
Would you like your child to have a Bar/Bat/Simchat Mitzvah?
- Yes
- No
What are your child’s hobbies/passions?
In what ways would you like your child to develop Jewishly?
Child 3 Name*
First Last
Hebrew name (in English letters)?
If your child has had a Bar/Bat/Simchat Mitzvah, what was the Parsha?
Would you like your child to have a Bar/Bat/Simchat Mitzvah?
- Yes
- No
What are your child’s hobbies/passions?
In what ways would you like your child to develop Jewishly?
Child 4 Name*
First Last
Hebrew name (in English letters)?
If your child has had a Bar/Bat/Simchat Mitzvah, what was the Parsha?
Would you like your child to have a Bar/Bat/Simchat Mitzvah?
- Yes
- No
What are your child’s hobbies/passions?
In what ways would you like your child to develop Jewishly?
Child 5 Name*
First Last
Hebrew name (in English letters)?
If your child has had a Bar/Bat/Simchat Mitzvah, what was the Parsha?
Would you like your child to have a Bar/Bat/Simchat Mitzvah?
- Yes
- No
What are your child’s hobbies/passions?
In what ways would you like your child to develop Jewishly?
Child 6 Name*
First Last
Hebrew name (in English letters)?
If your child has had a Bar/Bat/Simchat Mitzvah, what was the Parsha?
Would you like your child to have a Bar/Bat/Simchat Mitzvah?
- Yes
- No
What are your child’s hobbies/passions?
In what ways would you like your child to develop Jewishly?
Family Membership
Adult 1 Name*
First Last
Email*
Do you have a Hebrew name? (in English letters):
Have you had a Bar/Bat/Simchat Mitzvah?
- Yes
- No
Do you recall when it was (Gregorian calendar)?
MM slash DD slash YYYY
Do you recall your Parsha?
What is/was your occupation?
What are your hobbies/passions?
Or Shalom is a participatory community. What skills and talents do you want to bring to our community?
In what ways do you hope to develop these skills and talents?
Adult 2 Name*
First Last
Do you have a Hebrew name? (in English letters):
Have you had a Bar/Bat/Simchat Mitzvah?
- Yes
- No
Do you recall when it was (Gregorian calendar)?
MM slash DD slash YYYY
Do you recall your Parsha?
What is/was your occupation?
What are your hobbies/passions?
Or Shalom is a participatory community. What skills and talents do you want to bring to our community?
In what ways do you hope to develop these skills and talents?
How many children (under age 19) are in your family membership?*
Please enter a number greater than or equal to 0.
Child 1 Name*
First Last
Hebrew name (in English letters)?
If your child has had a Bar/Bat/Simchat Mitzvah, what was the Parsha?
Would you like your child to have a Bar/Bat/Simchat Mitzvah?
- Yes
- No
What are your child’s hobbies/passions?
In what ways would you like your child to develop Jewishly?
Child 2 Name*
First Last
Hebrew name (in English letters)?
If your child has had a Bar/Bat/Simchat Mitzvah, what was the Parsha?
Would you like your child to have a Bar/Bat/Simchat Mitzvah?
- Yes
- No
What are your child’s hobbies/passions?
In what ways would you like your child to develop Jewishly?
Child 3 Name*
First Last
Hebrew name (in English letters)?
If your child has had a Bar/Bat/Simchat Mitzvah, what was the Parsha?
Would you like your child to have a Bar/Bat/Simchat Mitzvah?
- Yes
- No
What are your child’s hobbies/passions?
In what ways would you like your child to develop Jewishly?
Child 4 Name*
First Last
Hebrew name (in English letters)?
If your child has had a Bar/Bat/Simchat Mitzvah, what was the Parsha?
Would you like your child to have a Bar/Bat/Simchat Mitzvah?
- Yes
- No
What are your child’s hobbies/passions?
In what ways would you like your child to develop Jewishly?
Child 5 Name*
First Last
Hebrew name (in English letters)?
If your child has had a Bar/Bat/Simchat Mitzvah, what was the Parsha?
Would you like your child to have a Bar/Bat/Simchat Mitzvah?
- Yes
- No
What are your child’s hobbies/passions?
In what ways would you like your child to develop Jewishly?
Child 6 Name*
First Last
Hebrew name (in English letters)?
If your child has had a Bar/Bat/Simchat Mitzvah, what was the Parsha?
Would you like your child to have a Bar/Bat/Simchat Mitzvah?
- Yes
- No
What are your child’s hobbies/passions?
In what ways would you like your child to develop Jewishly?
Yahrzeit
Yahrzeit information for your loved ones will be entered into Or Shalom's yahrzeit database so that their names can be read out on Shabbat. You will also receive annual reminders for the anniversaries of your loved ones’ passings.
How many yahrzeits would you like to enter?*
Please enter a number from 0 to 2.
Additional yahrzeits can be entered into our database using a separate form.
Deceased's English Name*
First Last
Deceased's Hebrew Name
First Last
Date of Death (Gregorian Calendar)*
MM slash DD slash YYYY
Date of Death (Jewish Calendar)
Time of Day
The yahrzeit date is the next calendar day if the person passed away after sunset.
- After sunset
Yahrzeit Observer's Name*
First Last
Deceased's Relationship to Observer*
(2) Deceased's English Name*
First Last
(2) Deceased's Hebrew Name
First Last
(2) Date of Death (Gregorian Calendar)*
MM slash DD slash YYYY
(2) Date of Death (Jewish Calendar)
(2) Time of Day
The yahrzeit date is the next calendar day if the person passed away after sunset.
- After sunset
(2) Yahrzeit Observer's Name*
First Last
(2) Deceased's Relationship to Observer*
How many yahrzeits would you like to enter for Adult 1?*
Please enter a number from 0 to 2.
Additional yahrzeits can be entered into our database using a separate form.
Deceased's English Name*
First Last
Deceased's Hebrew Name
First Last
Date of Death (Gregorian Calendar)*
MM slash DD slash YYYY
Date of Death (Jewish Calendar)
Time of Day
The yahrzeit date is the next calendar day if the person passed away after sunset.
- After sunset
Yahrzeit Observer's Name*
First Last
Deceased's Relationship to Observer*
(2) Deceased's English Name*
First Last
(2) Deceased's Hebrew Name
First Last
(2) Date of Death (Gregorian Calendar)*
MM slash DD slash YYYY
(2) Date of Death (Jewish Calendar)
(2) Time of Day
The yahrzeit date is the next calendar day if the person passed away after sunset.
- After sunset
(2) Yahrzeit Observer's Name*
First Last
(2) Deceased's Relationship to Observer*
How many yahrzeits would you like to enter for Adult 2?*
Please enter a number from 0 to 2.
Additional yahrzeits can be entered into our database using a separate form.
Deceased's English Name*
First Last
Deceased's Hebrew Name
First Last
Date of Death (Gregorian Calendar)*
MM slash DD slash YYYY
Date of Death (Jewish Calendar)
Time of Day
The yahrzeit date is the next calendar day if the person passed away after sunset.
- After sunset
Yahrzeit Observer's Name*
First Last
Deceased's Relationship to Observer*
(2) Deceased's English Name*
First Last
(2) Deceased's Hebrew Name
First Last
(2) Date of Death (Gregorian Calendar)*
MM slash DD slash YYYY
(2) Date of Death (Jewish Calendar)
(2) Time of Day
The yahrzeit date is the next calendar day if the person passed away after sunset.
- After sunset
(2) Yahrzeit Observer's Name*
First Last
(2) Deceased's Relationship to Observer*

Membership Application – Step 2

Single Membership

Family Membership

Yahrzeit

Search

Your Or Shalom Basket

Gender Inclusive Project

Contact Us

Hosted on Canada’s zero-carbon ISP: