2023-2024 Membership Form

We would be delighted for you to become a part of our Temple Sinai family. We look forward to getting to know every member of your family and helping you get the most out of your Temple membership. In order to assist our chazzan, staff and lay leadership in serving you fully and helping to enrich your Temple Sinai experience, we would like to know about you. Please call the synagogue office at (941) 924-1802 should you have any questions or need assistance completing this application. We look forward to welcoming you to our community, getting to know you, and sharing many memories in the future.

* First Name

* Last Name

* Email Address

* Primary Phone Number

* Are you a full-time resident in Sarasota County?

Please Select OneYesNo

* Primary Address

Apartment Number or PO Box

* City

* State

* Zip Code

* Member 1 - First Name

* Member 1 - Last Name

* Preferred Pronouns

* Member 1 - Date of Birth

* Member 1 - Hebrew Name

* Member 1 - Email

* Member 1 - Mobile

* Member 1 - Marital Status

Member 1 - Anniversary

if applicable

Member 1 - Employer

Member 1 - Occupation

Member 1 - Work Phone

Member 2 - First Name

Member 2 - Last Name

Member 2 - Date of Birth

Member 2 - Hebrew Name

Preferred Pronouns

Member 2 - Email

Member 2 - Mobile

Member 2 - Marital Status

Member 2 - Anniversary

if applicable

Member 2 - Employer

Member 2 - Occupation

Member 2 - Work Phone

Are you new to the Sarasota area?

Are there other Jewish organizations that you are involved with or would like to learn more about?

Are you related to members at Temple Sinai? If so, please list names and relationship.

* How did you learn about Temple Sinai?

Please explain:

How can we help you grow in Judaism? Temple Sinai offers ongoing classes and seminars for adults in the congregation on a variety of topics, such as adult b’nai mitzvah training, learning to read or speak Hebrew, learning parts of the service, Torah study. What topics would you be interested in studying?

Do any of your family members have unique restrictions or special needs of which we should be aware? Please feel free to share so that we may better serve you.

HELP US GROW! Do you know any prospective members who might enjoy Temple Sinai? Do you feel comfortable sharing their name and contact information?

* Do you have a second home?

Secondary Address

Secondary City

Secondary State

Secondary Zip Code

How many children under the age of 18 live at home?

Child 1 - Name

Child 1 - Hebrew Name

Child 1 - Gender

Child 1 - Birthdate

Child 1 - Grade

Child 2 - Name

Child 2 - Hebrew Name

Child 2 - Gender

Child 2 - Birthdate

Child 2 - Grade

Child 3 - Name

Child 3 - Hebrew Name

Child 3 - Gender

Child 3 - Birthdate

Child 3 - Grade

Please share information about any additional adult family members living at home.

Additional Adult 1 - Name

Additional Adult 1 - Gender

Additional Adult 1 - Birthdate

Additional Adult 1 - Resides at home?

Additional Family Member 2 - Name

Additional Adult 2 - Gender

Additional Adult 2 - Birthdate

Additional Adult 2 - Resides at home?

Emergency Contact 1 - Name

Emergency Contact 1 - Relationship

Emergency Contact 1 - Phone Number

Emergency Contact 2 - Name

Emergency Contact 2 - Relationship

Emergency Contact 2 - Phone Number

Please let us know about Yahrzeits you would like to observe.

Yahrzeit 1 - Name

Yahrzeit 1 - Relationship

Yahrzeit 1 - To whom?

Yahrzeit 1 - Hebrew Date

Yahrzeit 1 - English Date

Yahrzeit 2 - Name

Yahrzeit 2 - Relationship

Yahrzeit 2 - To whom?

Yahrzeit 2 - Hebrew Date

Yahrzeit 2 - English Date

Yahrzeit 3 - Name

Yahrzeit 3 - Relationship

Yahrzeit 3 - To whom?

Yahrzeit 3 - Hebrew Date

Yahrzeit 3 - English Date

Yahrzeit 4 - Name

Yahrzeit 4 - Relationship

Yahrzeit 4 - To whom?

Yahrzeit 4 - Hebrew Date

Yahrzeit 4 - English Date

Yahrzeit 5 - Name

Yahrzeit 5 - Relationship

Yahrzeit 5 - To whom?

Yahrzeit 5 - Hebrew Date

Yahrzeit 5 - English Date

Account statements and Yahrzeit notices are sent by email. Please indicate which of the following you would prefer to get by regular mail.

StatementsYahrzeit Notices

Do you give Temple Sinai permission to include my/our contact information in our Directory?

YesYes, but omit this specific contact information:

Omit the following info please:

if applicable

* Unless otherwise indicated by you in writing, you hereby give permission to the Temple Sinai to publish and/or distribute in print, electronic, digital or video format, including but not limited to photographs, videotape images and digital images, the likeness or image of you and members of your family, including any minor children. You understand that if my minor child’s likeness or image is published or distributed by Temple Sinai, your child will not be identified by name unless you give express permission. You release all claims against Temple Sinai with respect to copyright, ownership, intellectual property rights, publication rights, privacy rights, and all such similar rights, including any claims for compensation, related to the use of said likenesses or images. All negatives, prints and digital reproductions shall be and shall remain the exclusive property of the Temple Sinai.

Temple Sinai is committed to being accessible to all families regardless of financial circumstances. Check here if you would like to speak with someone about financial assistance. Please note that documentation of need will be required.

The fiscal year at Temple Sinai runs from July 1 to June 30. Membership commitment fees are billed on an annual basis before the start of the fiscal year.

Membership is automatically renewed each year, unless the Temple Administrator is notified in writing to the contrary.

Tickets for High Holiday Services will be sent only to those members whose financial obligations are current.

* I/we hereby apply for membership to Temple Sinai. If I/we become a member, I/we agree to abide by the Bylaws and Standing Rules of the congregation, including the timely payment of my/our annual commitment and any associated fees. I/we understand that failure to do so may result in suspension or termination of my/our membership. I/we also understand that if I/we resign my/our membership, I/we remain responsible for any outstanding debts to Temple Sinai, including membership commitment fees. All outstanding financial obligations survive termination of membership until paid. I/we understand that my/our commitment fee is due in full July 1 or upon joining, and while payment options are available, resignation from the synagogue does not absolve me/us of any remaining balance due.

* Are you Joining as an Individual, Jquest Family or Couple/Family?

-Select Individual for single membership options.

-Select JQuest Family tiered structure for families with children in Jquest.
*This includes a $360 rate for families whose first child is a Gan graduate and entering their first year of Jquest.

-Select Couple/Family for families with no children at home and Gan families who receive a complimentary membership.

* Please select your Annual Membership Commitment Level:

Non-Resident/Associate Members are required to certify upon joining and annually: not a Florida resident, no homestead exemption, cannot vote in FL vote, no FL drivers License OR provide letter confirming their status as full dues paying member at another synagogue.

* Please select your Annual Membership Commitment Level:

FOR JQUEST FAMILIES

Families enrolling in Jquest must also complete their student enrollment form. Click here for instructions.

It is not our intention to deny membership to anyone unable to afford the established fees listed above.

Please contact Amy Drachman, our Financial Secretary, at 941-600-3456, for confidential discussion regarding financial assistance, as needed.

SECURITY FEE

An annual Security Fee of $200 will be assessed on members in all categories except Under Age 30.

Persons joining Temple Sinai are encouraged to fulfill their financial obligations to their former congregation, if applicable. Resigned members who wish to rejoin, shall be required to pay outstanding amounts owed at the time of resignation.

Honorary Members are entitled to HHD tickets on request and are entitled to clergy for life cycle events. They may not vote or serve on the Board of Trustees.

Giving Above and Beyond the Membership Commitment

As an Above and Beyond giver, you enable us to open our arms to families unable to pay the full Commitment and you strengthen our ability to be a welcoming, engaging, and enriching community. Please consider a minimum donation of $1,800 or more over and above your yearly Commitment to join our Circle of Friends at the Scribe level.

ABOVE & BEYOND GIVING
Circle of Friends Scribe	$1,800 - $4,999
Benefactor	$1,000 - $1,499
Guardian	$500 - $999
Double Chai	$360 - $499
Chai	$180 - $359
Donor	$18 - $179

Yes, I can be an Above and Beyond giver!

In addition to my commitment amount listed above, I can provide:

Total Annual Commitment

TEMPLE SINAI CODE OF CONDUCT
Our Code of Conduct is meant to guide how we interact with each other as participants in our sacred community. While it does not encompass every possible concern, this Code of Conduct serves to set the principles and expectations for adherence by our clergy, congregants, staff, visitors, and guests, whether participating in a Temple Sinai activity that is in the building, online, or off-site. By participating in our community, you agree to adhere to this Code of Conduct.

Best Interests
We act in the best interests of Temple Sinai as a whole and our members in particular, making an active effort to ensure that people are actively listened to and taken into account in respect of how we operate and communicate.

Integrity
We uphold the highest levels of integrity and personal conduct in relation to each other, Temple Sinai, and ourselves. We will work to create systems to enable us to take decisions that are robust, responsible and free from conflicts of interest. We take responsibility to ensure our activities have a positive impact on our members.
Openness
We commit to being transparent, accountable and ensuring we communicate effectively with everyone who participates in our community. We aim to be clear about what we do, how and why we do it. We will aim to be open about mistakes, so that we can learn from them.

The Right to be Safe and Supported
We will aim to ensure that every person who is part of Temple Sinai, or encounters our community, is treated with dignity and respect, and made to feel that they are in a supportive environment. We will tackle any abuse of power or trust and stand firmly against bullying, intimidation or harassment, discrimination or victimization in all we do. When there are conflicts, we will aim to resolve them in person, rather than by email. We will aim to ensure people get the training they need to do the roles they take on and encourage people to ask for help when needed.

Wed, May 8 2024 30 Nisan 5784

2023-2024 Membership Form

FOR JQUEST FAMILIES

TEMPLE SINAI

The Gan at Temple Sinai