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New Member Form 2023-2024
Please verify reCaptcha before submitting the 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.
Type of membership requested
Individual
Family
*
Are you a returning Temple Beth El member?
Please Select One
I am a new Temple Beth El member
I am a returning Temple Beth El member
*
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
Information Adult Member #1
*
First Name
*
Last Name
*
Email Address
*
Phone Number
Name you like to be called
Hebrew Name (if applicable)
*
Date of Birth
Occupation (or note retired)
Information Adult Member #2 (If Applicable)
First Name
Last Name
Email Address
Phone Number
Name you like to be called
Hebrew Name (if applicable)
*
Date of Birth
Occupation (or note retired)
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
Retired
Religious Affiliation
Previous Temple Affiliation
City
State
Previous Congregational Involvement. Please check all that apply
Board Member
Board Member
Title
Religious School Teacher
Religious School Teacher
Grade
Committee/Groups/Volunteer
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
Children
Please include grown children, as well as those living at home.
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
New Members Requesting a Bar/Bat Mitzvah Date
(apples only to 4th/5th graders and above, depending on date of birth)
How many years has your child attended religious school?
0
1
2
3
4
5
6
7
8
9
10
How many years included Hebrew?
0
1
2
3
4
5
6
7
8
9
10
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?
Family Information
*
Marital Status
Please Select One
Single
Married
Committed Relationship
Divorced
Engaged
Widowed
Anniversary Date
Emergency Contact (not living with you)
Relationship
Email
Phone Number
Is there anything additional that you would like for us to know about you and your family?
Previous Congregational Involvement
Previous Temple Affiliation
City and State
Board Member/Temple Leadership
Religious School Teaching Experience
Committees/Groups/Volunteer Experience
Yahrzeits
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 One
I prefer to observe the English date
I 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 One
I prefer to observe the English date
I 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
My Temple Commitment
I can afford the base commitment
I cannot afford the base commitment and need a Commitment Review Form
Please fill out the
Commitment Review Form
in addition to the New Member Form for your membership to be processed.
Please contact
Madeline White, Congregant Support Administrative Assistant
with any questions or concerns.
Base Commitment
My Temple Commitment (based on above chart)
Please Select One
Family - 37+ years old
Family - 34-36 years old
Family - 30-33 years old
Family - 26-29 years old
Family - 25 & younger
Individual - 37+ years old
Individual - 34-36 years old
Individual 30 - 33 years old
individual 26-29 years old
Individual 25 years old & younger
I would like to give above Base Commitment but below Sustainer Levels (Provide amount)
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
Please Select One
Single Payment
Two Payments
8 Payments (Monthly)
4 Payments
Choose your method of payment
Please Select One
Check
ACH Debit
Credit Card
Get Involved
I would like to learn more about:
SPICE (55+/Seniors)
Brotherhood
TriBEs (Small Groups)
The Porch (Families with Young Children)
TBE Jam (Young Adults)
Social Justice & Action
Adult Education
Youth Education/Religious School
Youth Engagement Opportunities
Is there anything else you are interested in?
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, 2024.
*
I agree to the above statement
I agree to the above statement
Auto Renewal
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.
I give permission for auto-renewal
Wed, November 29 2023
16 Kislev 5784
Wed, November 29 2023 16 Kislev 5784