New Member Form 2022-2023 - Form

Welcome Home

Temple Beth El is a vibrant and inclusive Reform Jewish community that values warm welcome, meaningful relationships, and inspirational personal growth. We are a congregation where learning, prayer, and deeds help to transform people’s understanding of themselves, channel the power of community, and inform our responsibilities to the world.

We do this in a sacred community where we learn together, we pray together, we act together, we play together, we care for each other, and we are accountable to each other.

Date

Type of membership requested

IndividualFamily

Please Select OneI am a new Temple Beth El memberI am a returning Temple Beth El member

Mailing Name & Address

* First Name

* Last Name

* Primary Email Address

* Primary Cell Phone

* Primary Address

Primary Address Line 2

* City

* State

* Zip Code

Primary Email Address - Member #2

Primary Phone Number - Member #2

Anniversary Date

Intended Wedding Date

Adult Member

First Name

Last Name

Name you like to be called

Hebrew Name (if applicable)

Date of Birth

Occupation

Business Name

Title

Business Phone

Retired

Religious Affiliation

Previous Temple Affiliation

City & State

Emergency Contact (not living with you)

Previous Congregational Involvement. Please check all that apply:

Board Member

Title

Religious School Teacher

Grade

Committee/Groups/Volunteer

Adult Member #2

First Name

Last Name

Name you like to be called

Hebrew Name (if applicable)

Date of Birth

Occupation

Business Name

Title

Business Phone

Retired

Religious Affiliation

Previous Temple Affiliation

City & State

Previous Congregational Involvement. Please check all that apply.

Board Member

Title

Religious School Teacher

Grade

Committee/Groups/Volunteer

Emergency Contact (not living with you)

Please click the + to add additional adult members

First Name

Last Name

Name you like to be called

Hebrew Name (if applicable)

Date of Birth

Occupation

Business Name

Title

Business Phone

Retired

Religious Affiliation

Previous Temple Affiliation

City

State

Previous Congregational Involvement. Please check all that apply

Board Member

Title

Religious School Teacher

Grade

Committee/Groups/Volunteer

Please name those you were involved with

Emergency Contact (not living with you)

Is there anything additional that you would like for us to know about you and your family

Is there anything additional that you would like for us to know about you and your family?

Children

Please include grown children as well as those living at home

First Name

Last Name

Hebrew Name (if applicable)

Gender

Date of Birth

Grade in Secular School

Grade in Religious School

College

New Members Requesting a Bar/Bat Mitzvah Date
(apples only to 4th/5th graders and above, depending in birth date)

How many years has your child attended religious school?

How many years included Hebrew?

Did your child have a bar/bat mitzvah date elsewhere? If so, what was it?

Does your child have any special needs or learning challenges that we should know about?

Click the + to add children

First Name

Last Name

Hebrew Name (if applicable)

Gender

Date of Birth

Grade in Secular School

Grade in Religious School

College

Yahrzeits are observed and announced at the religious service during the week of the date of death. Please list names of those immediate family members (parents, grandparents, children, and siblings) you wish remembered. Please indicate which date you prefer to observe.

Please Select OneI prefer to observe the English dateI prefer to observe the Hebrew date

First Name

Last Name

State the nature of relationship to Adult #1 and/or Adult #2

English date of death

Hebrew date of death

Click the + to add additional Yahrzeits

Please Select OneI prefer to observe the English dateI prefer to observe the Hebrew date

First Name

Last Name

State the nature of relationship to Adult #1 and/or Adult #2

English date of death

Hebrew date of death

I can afford the base commitmentI cannot afford the base commitment and need a Commitment Review Form

You can find our Commitment Review Form here. Please fill out the Commitment Review Form in addition to the New Member Form for your membership to be processed.

Please contact Eden Gobuty, Director of Development and Member Services with any questions or concerns.

My Temple Commitment

My Temple Commitment (Please choose your appropriate level from above)

I would like to give above Base Commitment but below Sustainer Levels

Sustainers

Sustainer Level Commitment

* Security Fee of $144

Security Fee of $144

Would you like to supplement your security fee with an additional donation? Please enter the additional amount here.

Total Commitment

Choose your number of payments

Choose your method of payment

I Want To:

Learn (Adult Education)Connect & Engage (Brotherhood, Porch, Small Groups, and SPICE)Schedule Clergy for Lifecycles (Baby Namings, Wedding, Conversion, B'nei Mitzvah, and Funerals)Learn more about JudaismFind Jewish Opportunities for my Child(ren)Repair the World (Justice and Action)Care for Others (Hineynu)

Is there anything else you are interested in?

If applicable, please share the name of who referred you to Temple Beth El so that we may thank them.

Signature Required

As a member of Temple Beth El, I understand that I am making a commitment to sustain this congregation and to ensure a bright future for our children and generations to come. I further understand that the Temple depends on this My Temple Commitment, and I pledge to fulfill my financial obligation on or before June 30, 2023.

* Signature

Initials Requested

I give Temple Beth El permission to continue charging my account or credit card annually using the method and timing indicated above. The amount may increase each year at a maximum of 4% (in alignment with MTC increases) without additional permission. I will notify TBE if I wish to stop automatic payments on my account.

Signature

I give permission for auto-renewal