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Join Temple Sinai
2024 New Member Information Sheet
Please verify reCaptcha before submitting the form.
We want to get to know you! On behalf of the Clergy & Staff, Board, and Congregation, we welcome you into our community.
If you have any questions or need assistance filling out this form, contact Drew Barkley, Executive Director, at
Drew@TempleSinaiPGH.org
or (412) 421-9715 ext. 111.
TELL US ABOUT YOURSELF—Adult 1
*
First Name
(Adult 1)
*
Last Name
(Adult 1)
*
Preferred Name
(Adult 1)
Hebrew Name
(Adult 1)
Gender
(Adult 1)
Pronouns
(Adult 1)
*
Date of Birth
(Adult 1)
Personal Status
(Adult 1)
Please select one
Single
Partnered
Widowed
Married
Engaged
Wedding Date
(Adult 1)
Please enter your wedding date.
Engaged
(Adult 1)
Please enter the planned date of your wedding.
*
Email
(Adult 1)
*
Cell Phone #
(Adult 1)
Home Phone #
(Adult 1)
Occupation
(Adult 1)
Employer
(Adult 1)
Previous Occupation
(Adult 1)
If you are retired, please list previous occupation.
*
Religious Tradition
(Adult 1)
Please select one
Reform
Reconstructionist
Conservative
Orthodox
Secular
Other
Non-Jewish
Other Tradition
(Adult 1)
Please specify.
Non-Jewish
(Adult 1)
Please specify.
Jew by Choice
(Adult 1)
Jew by Choice
(Adult 1)
I am interested in learning about Jew by Choice.
Previous Affiliation
(Adult 1)
Please enter the name and city/state of your previous synagogue if applicable.
*
Address
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code
Seasonal Address
(if different from address listed above)
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Seasonal Address Dates
Please enter the dates that you would like your Temple Sinai mail sent to your seasonal address.
Please provide us with an emergency contact.
*
Contact's Name
*
Contact's Email
*
Contact's Phone #
*
How did you hear about Temple Sinai?
Please select one
Friend/Relative
Advertising
Internet Search
Social Media
Other
Enter name(s) of your friend(s)/relative(s) at Temple Sinai
Please tell us how you heard about Temple Sinai
What attracted you to Temple Sinai?
Temple Sinai is an inclusive community that embraces, supports, and values all people, regardless of ability or needs, to participate in every aspect of our Reform Jewish synagogue life.
Would you like someone to contact you regarding accessing Temple Sinai’s grounds, building, services, classes, or activities (onsite and/or online)?
Please select one
Yes
No
TELL US ABOUT YOUR INTERESTS—Adult 1
Volunteering
(Choose all that apply.)
Cooking/Baking
Event Planning
Fundraising
Gardening
Social Justice/Tikkun Olam
Volunteering (general)
Prayer & Spirituality
(Choose all that apply.)
Adult Education
Saturday Minyan
Shiva Minyan Leader
Shofar Blowing at High Holy Days
Torah Reading
Special Interest Groups
(Choose all that apply.)
Book Club
Brotherhood
Interfaith Group
Intergenerational Choir
LGBTQ+ Pride Tribe
Temple Sinai Band
Senior Adults
Women of Temple Sinai (WoTS)
Young Adults (22–45)
Do you have other interests or talents not listed above?
*
Is another adult (spouse or partner) joining with you?
Please select one
Yes
No
TELL US ABOUT YOURSELF—Adult 2
First Name
(Adult 2)
Last Name
(Adult 2)
Preferred Name
(Adult 2)
Hebrew Name
(Adult 2)
Gender
(Adult 2)
Pronouns
(Adult 2)
Date of Birth
(Adult 2)
Personal Status
Please choose one
Single
Partnered
Widowed
Married
Engaged
Wedding Date
(Adult 2)
Please enter your wedding date.
Engaged
(Adult 2)
Please enter the planned date of your wedding.
Email
(Adult 2)
Cell Phone #
(Adult 2)
Occupation
(Adult 2)
Employer
(Adult 2)
Previous Occupation
(Adult 2)
If you are retired, please list previous occupation.
Religious Tradition
(Adult 2)
Please select one
Reform
Reconstructionist
Conservative
Orthodox
Secular
Other
Non-Jewish
Other Tradition
(Adult 2)
Please specify.
Non-Jewish
(Adult 2)
Please specify.
Jew by Choice
(Adult 2)
Jew by Choice
(Adult 2)
I am interested in learning about Jew by Choice.
Previous Affiliation
(Adult 2)
Please enter the name and city/state of your previous synagogue if applicable.
Emergency Contact Name
Emergency Contact Phone #
Emergency Contact Email
TELL US ABOUT YOUR INTERESTS—Adult 2
Volunteering
(Choose all that apply.)
Cooking/Baking
Event Planning
Fundraising
Gardening
Social Justice/Tikkun Olam
Volunteering (general)
Prayer & Spirituality
(Choose all that apply.)
Adult Education
Saturday Minyan
Shiva Minyan Leader
Shofar Blowing at High Holy Days
Torah Reading
Special Interest Groups
(Choose all that apply.)
Book Club
Brotherhood
Interfaith Group
Intergenerational Choir
LGBTQ+ Pride Tribe
Temple Sinai Band
Senior Adults
Women of Temple Sinai (WoTS)
Young Adults (22-45)
Do you have other interests or talents not listed above?
*
Do you have yahrzeits to add to your account?
Please select one
Yes
No
TELL US ABOUT YOUR YAHRZEIT(S)
YAHRZEIT 1
Name of Departed:
Date of Death:
Related to:
Adult 1
Adult 2
Observe on:
English Date
Hebrew Date
Relationship:
Spouse/Partner
Grandmother
Grandfather
Mother
Father
Sister
Brother
Aunt
Uncle
Daughter
Son
Niece
Nephew
Cousin
Friend
YAHRZEIT 2
Name of Departed:
Date of Death:
Related to:
Adult 1
Adult 2
Observe on:
English Date
Hebrew Date
Relationship:
Spouse/Partner
Grandmother
Grandfather
Mother
Father
Sister
Brother
Aunt
Uncle
Daughter
Son
Niece
Nephew
Cousin
Friend
YAHRZEIT 3
Name of Departed:
Date of Death:
Related to:
Adult 1
Adult 2
Observe on:
English Date
Hebrew Date
Relationship:
Spouse/Partner
Grandmother
Grandfather
Mother
Father
Sister
Brother
Aunt
Uncle
Daughter
Son
Niece
Nephew
Cousin
Friend
YAHRZEIT 4
Name of Departed:
Date of Death:
Related to:
Adult 1
Adult 2
Observe on:
English Date
Hebrew Date
Relationship:
Spouse/Partner
Grandmother
Grandfather
Mother
Father
Sister
Brother
Aunt
Uncle
Daughter
Son
Niece
Nephew
Cousin
Friend
YAHRZEIT 5
Name of Departed:
Date of Death:
Related to:
Adult 1
Adult 2
Observe on:
English Date
Hebrew Date
Relationship:
Spouse/Partner
Grandmother
Grandfather
Mother
Father
Sister
Brother
Aunt
Uncle
Daughter
Son
Niece
Nephew
Cousin
Friend
YAHRZEIT 6
Name of Departed:
Date of Death:
Related to:
Adult 1
Adult 2
Observe on:
English Date
Hebrew Date
Relationship:
Spouse/Partner
Grandmother
Grandfather
Mother
Father
Sister
Brother
Aunt
Uncle
Daughter
Son
Niece
Nephew
Cousin
Friend
YAHRZEIT 7
Name of Departed:
Date of Death:
Related to:
Adult 1
Adult 2
Observe on:
English Date
Hebrew Date
Relationship:
Spouse/Partner
Grandmother
Grandfather
Mother
Father
Sister
Brother
Aunt
Uncle
Daughter
Son
Niece
Nephew
Cousin
Friend
YAHRZEIT 8
Name of Departed:
Date of Death:
Related to:
Adult 1
Adult 2
Observe on:
English Date
Hebrew Date
Relationship:
Spouse/Partner
Grandmother
Grandfather
Mother
Father
Sister
Brother
Aunt
Uncle
Daughter
Son
Niece
Nephew
Cousin
Friend
*
Do you have children (regardless of age)?
Please select one
Yes
No
TELL US ABOUT YOUR CHILDREN (REGARDLESS OF AGE)
CHILD 1
Name of Child (minor or adult):
Preferred Name
Hebrew Name
Gender
Pronoun
Date of Birth
Email
Cell #
Spouse/Partner Name
(if applicable)
Are you interested in Religious School for this child?
Please select one:
Yes
No
CHILD 2
Name of Child (minor or adult)
Preferred Name
Hebrew Name
Gender
Pronoun
Date of Birth
Email
Cell #
Spouse/Partner Name
(if applicable)
Are you interested in Religious School for this child?
Please select one:
Yes
No
CHILD 3
Name of Child (minor or adult)
Preferred Name
Hebrew Name
Gender
Pronoun
Date of Birth
Email
Cell Number
Spouse/Partner Name
(if applicable)
Are you interested in Religious School for this child?
Please select one:
Yes
No
CHILD 4
Name of Child (minor or adult)
Preferred Name
Hebrew Name
Gender
Pronoun
Date of Birth
Email
Cell #
Spouse/Partner Name
(if applicable)
Are you interested in Religious School for this child?
Please select one:
Yes
No
CHILD 5
Name of Child (minor or adult)
Preferred Name
Hebrew Name
Gender
Pronoun
Date of Birth
Email
Cell #
Spouse/Partner Name
(if applicable)
Are you interested in Religious School for this child?
Please select one:
Yes
No
CHILD 6
Name of Child (minor or adult)
Preferred Name
Hebrew Name
Gender
Pronoun
Date of Birth
Email
Cell #
Spouse/Partner Name
(if applicable)
Are you interested in Religious School for this child?
Please select one:
Yes
No
Do you have grandchildren (regardless of age)?
Please select one
Yes
No
TELL US ABOUT YOUR GRANDCHILDREN (REGARDLESS OF AGE)
GRANDCHILD 1
Name of Grandchild (minor or adult)
Preferred Name
Hebrew Name
Gender
Pronoun
Date of Birth
Email
Cell #
Spouse/Partner Name
(if applicable)
Are you interested in Religious School for this grandchild?
Please select one:
Yes
No
GRANDCHILD 2
Name of Grandchild (minor or adult)
Preferred Name
Hebrew Name
Gender
Pronoun
Date of Birth
Email
Cell #
Spouse/Partner Name
(if applicable)
Are you interested in Religious School for this grandchild?
Please select one:
Yes
No
GRANDCHILD 3
Name of Grandchild (minor or adult)
Preferred Name
Hebrew Name
Gender
Pronoun
Date of Birth
Email
Cell #
Spouse/Partner Name
(if applicable)
Are you interested in Religious School for this grandchild?
Please select one:
Yes
No
GRANDCHILD 4
Name of Grandchild (minor or adult)
Preferred Name
Hebrew Name
Gender
Pronoun
Date of Birth
Email
Cell #
Spouse/Partner Name
(if applicable)
Are you interested in Religious School for this grandchild?
Please select one:
Yes
No
MEMBERSHIP PLEDGE July 1, 2024–June 30, 2025
At Temple Sinai we don’t put a price on
membership. As the first Reform congregation in Western PA to ask for an annual personal pledge instead of traditional annual dues, we ask that, guided by the knowledge of what it takes to sustain Temple Sinai, you determine
what you can pay, and give to the best of your ability.
Your membership Pledge is a voluntary contribution—an amount determined by YOU—that represents how you value Temple Sinai’s clergy, programs, lifecycle events, social justice initiatives, education, music, and more, as well as a reflection of your personal giving capacity.
The 2024 Sustaining Amount is $2,750. The “Sustaining Amount” is the estimate of what would be the contribution per household to cover all of Temple Sinai’s operating expenses (not counting the assessments
described below).
If you have any questions about our Membership Pledge, contact Drew Barkley, Executive Director, at
Drew@TempleSinaiPGH.org
or (412) 421-9715 ext. 111.
*
Enter Your Membership Pledge Amount
Your 2024 Membership Pledge covers July 1, 2024–June 30, 2025.
2024 Building Assessment
$100
Why Do We Have a Building Assessment?
As part of Pledge, we ask everyone to pay $100 to meet the needs of ongoing building maintenance, repairs, and improvements required to keep Temple Sinai functional, accessible, and comfortable for everyone.
2024 Safety & Security Assessment
$150
Why Do We Have a Safety & Security Assessment?
Keeping everyone safe is one of our highest priorities. We are constantly monitoring our security needs in light of increased antisemitism. As part of Pledge, we ask everyone to pay $150 to help offset the additional expenses of security upgrades and armed security professionals.
Total Amount
Thank you for sharing your information with us. We look forward to getting to know you! Please click on the "Submit" button below to submit your information and make a payment on your Pledge.
If you have any questions or want to submit additional yahrzeits, children, or grandchildren information, please contact Drew Barkley, Executive Director, at
Drew@TempleSinaiPGH.org
or (412) 421-9715 ext. 111.
Fri, May 2 2025 4 Iyar 5785