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Mekor Shalom Membership Connections Form


 
 Dear Friends,
 
What draws each of us into a community?
 
I believe that a desire to connect plays a large role in what brings us into a community.  Each one of us deserves to feel a connection to those around us, to feel a sense of belonging.  Each one of us deserves to feel a connection to God and to the teachings of our tradition.
 
It is with this in mind that I am delighted that you are interested in Congregation Mekor Shalom. Mekor Shalom means Source of Peace. Mekor Shalom is a community where each person matters — your presence, your feelings, and your neshama (your soul). At Mekor Shalom, each of us is welcomed and celebrated for who we are.
 
I want to invite you to become a part of this sacred community. The weaving of the presence of each person into the communal tapestry is a blessing. Having your uniquely beautiful colors as a part of the tapestry will enrich and enhance Mekor Shalom infinitely. Each one of us has the unlimited potential to be a source of peace for ourselves and for the entire community.
 
Please feel free to contact me with any questions, comments, concerns, or ideas.
 
May God, the Source of Peace and Source of all Creation, guide us on this spiritual journey of connection.
 
B’shalom,
 
Hazzan Jodi M. Sered-Lever,
Founding Spiritual Leader 

Adult #1


Please check here if you would like to be listed in the member directory.

Please indicate (e.g. She/Her/Hers, He/Him/His, They/Them/Theirs, a combination)

English or Hebrew letters may be entered in the name fields.
If you aren't sure, that's fine!




Adult #2


Please check here if you would like to be listed in the member directory.

Please indicate (e.g. She/Her/Hers, He/Him/His, They/Them/Theirs, a combination)

English or Hebrew letters may be entered in the name fields.
If you aren't sure, that's fine!




Dependent Children & Dependent Adults
Child or Dependent Adult #1
Please indicate (e.g. She/Her/Hers, He/Him/His, They/Them/Theirs, a combination)

English or Hebrew letters may be entered in the name fields.


Child or Dependent Adult #2
Please indicate (e.g. She/Her/Hers, He/Him/His, They/Them/Theirs, a combination)

English or Hebrew letters may be entered in the name fields.


Child or Dependent Adult #3
Please indicate (e.g. She/Her/Hers, He/Him/His, They/Them/Theirs, a combination)

English or Hebrew letters may be entered in the name fields.


Child or Dependent Adult #4
Please indicate (e.g. She/Her/Hers, He/Him/His, They/Them/Theirs, a combination)

English or Hebrew letters may be entered in the name fields.


Remembering Loved Ones Who Have Died:  Yahrzeit Information
Please indicate yes or no.

Please indicate yes or no.

Please indicate yes or no.

Please indicate yes or no.


A Request for Photographs:
I/we give permission to Congregation Mekor Shalom to photograph our household members, including child(ren) if applicable, to use image(s) for publication purposes whether electronic, print, digital, or electronic publishing via the Internet.  Please note:  Child(ren) will not be tagged in any images shared on official Mekor Shalom social media accounts. 

By checking the “I/We Agree” checkbox, I/we hereby commit to cultivating and becoming a part of the fabric of a sacred community where people care about people. We will strive to nurture our neshamot, our souls, as part of our spiritual journey, to grow and evolve Jewishly, and to support the sacred work of Congregation Mekor Shalom.
What a blessing to have your household joining Mekor Shalom. 
Your presence enhances this community.
Thu, June 20 2024 14 Sivan 5784