New Member Form 2023-2024 - 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

IndividualFamily

* Are you a returning Temple Beth El member?

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

Contact Information

* First Name

* Last Name

* Email Address

* Phone Number

* Address

* City

* State

* Zip Code

Adult Member(s)

First Name

Last Name

Date of Birth

Hebrew Name (if applicable)

Name you like to be called

* Marital Status

Anniversary Date

Emergency Contact (not living with you)

Work Background

Business Position

Business Name

I am retired

Previous Congregational Involvement

Previous Temple Affiliation

City and State

Board Member/Temple Leadership

Religious School Teaching Experience

Committees/Groups/Volunteer Experience

Adult Member #2

First Name

Last Name

Name you like to be called

Hebrew Name (if applicable)

Date of Birth

Business Position

Business Name

I am retired

Religious Affiliation

Previous Temple Affiliation

City & State

Previous Congregational Involvement

Board Member/Temple Leadership

Religious School Teaching Experience

Committees/Groups/Volunteer Experience

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.

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

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

My Temple Commitment

I can afford the base commitmentI 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)

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

Get Involved

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