Rime New Members
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Information for New Member's Profile
This information will be kept private and form Rime Buddhist Center records only.
Preferred Name
Preferred Pronouns
Please select one option.
she/her/hers
he/him/his
ze/hir/hirs
ve/ver/vis
they/their/theirs
Select Option
she/her/hers
he/him/his
ze/hir/hirs
ve/ver/vis
they/their/theirs
Other pronouns not listed:
Phone
Address
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Birthdate
Marital Status
Please select one option.
Single
Engaged
Married
Divorced
Widowed
Separated
Spouse/Partner's Name
Children? Names and Ages
'Meet a Member' Information
Information that could be used for the Rime Buddhist Center's 'Meet a Member' social media posts.
Can your information be used for our Meet a Member social media post?
*
Please select all that apply.
Yes
No
Hometown or place that you were born?
Type of work you do?
Hobbies?
What is your favorite book on Buddhism and why?
What is one thing you like about the Rime Center?
Are there any service opportunities you are interested in? (mark all that apply)
Please select all that apply.
Service Guild
Homeless Outreach
Prison Outreach
Facility Committee
Fund-raising Committee
Dharma School
Tibetan Refugee Sponsorship
Picture of you.
Upload (8MB)
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following