TBS Membership Application 2025-2026 - Form

Temple Beth Shalom is a warm and inclusive congregation whose members are inspired to explore and express Judaism within the broad and dynamic framework of Reform beliefs and practices. We seek to provide Jewish spiritual, educational and social opportunities which encourage personal development and social responsibility as well as promote greater knowledge of our Jewish history and culture.

Founded in 1977, Temple Beth Shalom (TBS) is the center of Jewish life in New Albany, a vibrant community near Columbus, Ohio. When you walk inside, you’ll find a community of all ages, with diverse backgrounds, and a wide range of interests. What we have in common is a deep commitment to promoting an inclusive and responsive connection to Judaism that is actively Joyful, intentionally Personal, and Welcoming to all.

* First Name

* Last Name

* Date of Birth

Hebrew Name

Pronouns

Cell Phone

* Occupation

* Employer

* Business Phone

* In keeping with Temple's policy of inclusion, please advise us of any disabilities or dietary restrictions you or your family member(s) may have, so that we may better serve your needs.

GET INVOLVED!
There are many wonderful ways to get involved at Temple Beth Shalom! Please review the groups listed below and indicate any that are of interest to you.

Is there a second adult applying for membership?

* First Name

* Last Name

* Date of Birth

Hebrew Name

Pronouns

Cell Phone

* Occupation

* Employer

* Business Phone

* Marital Status

* Anniversary Date

GET INVOLVED!
There are many wonderful ways to get involved at Temple Beth Shalom! Please review the groups listed below and indicate any that are of interest to you.

Residential Address

City

State

Postal Code

Billing address is same as primary residential address.

Home Phone

* Do you wish to opt out of the Online Membership Directory?

Your name, email address, home address, and home phone number will be listed in
the Temple Membership Directory by default, unless requested otherwise. Once your Membership Account is setup you will be able to control your directory listing by logging into your account at any time.

* How many children under the age of 25 live in the family home?

* Do you plan to enroll your child(ren) in Religious School?

Religious School meets Sunday mornings at 9:30am from September - May and is available to students in Kindergarten through 7th Grade.
Kindergartners - 2nd Graders spend the morning learning Judaics, Jewish Values, and Music until 11am. Our 3rd Graders - 7th Graders have a Hebrew Learning and Judaics sessions until 12pm.

* Are you interested in learning about our Madrachim Program?

Our Madrichim, or Teachers Aide, Program is open to 8th - 12th Graders.
Madrichim help teach in classrooms, help individual students with Hebrew, and are terrific role models for younger students.

* Are you interested in learning about our Teen Program?

Our Teen Program provides an opportunity for 8th Graders - 12th Graders to meet once a month on Sunday evenings for dinner, conversation, and curriculum that focuses on Jewish values, an understanding of Torah stories & holidays, navigating antisemitism, and cultivating pride for being Jewish.

Child 1 - First Name

Child 1 - Last Name

Child 1 - Date of Birth

Child 1 Grade (Fall 2024)

Child 2 - First Name

Child 2 - Last Name

Child 2 - Date of Birth

Child 2 Grade (Fall 2024)

Child 3 - First Name

Child 3 - Last Name

Child 3 - Date of Birth

Child 3 Grade (Fall 2024)

Child 4 - First Name

Child 4 - Last Name

Child 4 - Date of Birth

Child 4 Grade (Fall 2024)

Members of Temple Beth Shalom support the incredible programs and services of our community through their annual commitment. In order for us to open our doors to all who seek to join, regardless of financial capacity, some members contribute Above and Beyond their standard dues level.

Please consider giving Above and Beyond in one of these categories:

Eternal Light - $7,500+
Sustain the Flame - $5,000-$7,499
Kindle the Flame - $3,000-$4,999

Please select your giving level from the options below:

THANK YOU for being an Eternal Light Member. Please enter your pledge below ($7,500+)

THANK YOU for being a Sustain the Flame Member. Please enter your pledge below ($5,000-$7,499)

THANK YOU for being a Kindle the Flame Member. Please enter your pledge below ($3,000-$4,999)

Thank you for completing our membership application. Someone from the Temple will contact you to discuss an annual contribution that is meaningful to you without being a financial burden.

Facility Fee
In order to secure funds for improvements and upkeep of our building, each member household is assessed an annual facility fee of $275

* I acknowledge the annual $275 per household Facilty Fee.

I acknowledge the annual $275 per household Facilty Fee.

Total pledge:

Payment options will appear on the next screen

* How did you find Temple Beth Shalom?

FriendFamily MemberSocial Media (Facebook, Instagram)Web Search

If a friend or relative recommended us, please share their name: