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Zip Code
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Is your mailing address different from your residential address?
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Yes
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All mail will be sent to your residence, unless otherwise requested.
*
Today's Date
Mailing Address
City
State
Zip Code
*
Do you wish to opt out of the Online Membership Directory?
Please Select One
No - I wish to be listed
Yes - please take me out of the Online Membership Directory
Your name, email address, home address, and home phone number will be listed in
the Temple Membership Directory by default, unless requested otherwise.
Once your Membership Account is setup you will be able to control your directory listing by logging into your account at any time.
Adult #1
*
Adult 1 - First Name
*
Adult 1 - Last Name
Adult 1 - Hebrew Name
*
Adult 1 - Date of Birth
Adult 1 - Home Phone
Adult 1 - Cell Phone
Adult 1 - Email
*
Adult 1 - Marital Status
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
*
Adult 1 - Occupation
*
Adult 1 - Employer
*
Adult 1 - Business Phone
In keeping with Beth El's policy of inclusion, please advise us of any disabilities you or your family member(s) may have, so that we may better serve your needs.
Beth El is dependent on volunteers. Opportunities for you to contribute range from Adult Education, to Communications, to Shabbat Greeter. Please select your interests below:
Click
here
to learn more about volunteer opportunities or register online.
Can you read Hebrew and/or chant Torah?
Read Torah
Chant Torah
Which of the following areas are you interested in?
Adult Education
Budget and Finance
Caring Community
Communications
Fundraising
Membership Committee
Religious School
Social Action Committee
Volunteer Co-ordinator
Is there a second adult applying for membership?
Please Select One
Yes
No
Adult #2
*
Adult 2 - First Name
*
Adult 2 - Last Name
Adult 2 - Hebrew Name
Adult 2 - Date of Birth
Adult 2 - Home Phone
Adult 2 - Cell Phone
Adult 2 - Email
Are you considering conversion?
*
Adult 2 - Marital Status
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
*
Adult 2 - Occupation
*
Adult 2 - Employer
*
Adult 2 - Business Phone
Beth El is dependent on volunteers. Opportunities for you to contribute range from Adult Education, to Communications, to Shabbat Greeter. Please select your interests below:
Click
here
to learn more about volunteer opportunities or register online.
Adult 2 - Can you read Hebrew and/or chant Torah?
Read Torah
Chant Torah
Adult 2 - Which of the following areas are you interested in?
Adult Education
Budget and Finance
Caring Community
Communications
Fundraising
Membership Committee
Religious School
Social Action Committee
Office Volunteer
Women of Reform Judaism
Gardening/Chapel in the Woods
Brotherhood
Children Information
*
How many children under the age of 18 live in the family home?
Please Select One
None
One child
Two children
Three children
Four children
Child #1
Child 1 - First Name
Child 1 - Last Name
Child 1 - Hebrew Name
Child 1 - Date of Birth
Child 1 - Gender
N/A or Unknown
Male
Female
Child 1 - School grade:
Child 1 - School Name
Child 1 - Are you registering this child in Religious School?
Please Select One
Yes
No
Child #2
Child 2 - First Name
Child 2 - Last Name
Child 2 - Hebrew Name
Child 2 - Date of Birth
Child 2 - Gender
N/A or Unknown
Male
Female
Child 2 - School grade:
Child 2 - School Name
Child 2 - Are you registering this child in Religious School?
Please Select One
Yes
No
Child #3
Child 3 - First Name
Child 3 - Last Name
Child 3 - Hebrew Name
Child 3 - Date of Birth
Child 3 - Gender
N/A or Unknown
Male
Female
Child 3 - School grade:
Child 3 - School Name
Child 3 - Are you registering this child in Religious School?
Please Select One
Yes
No
Child #4
Child 4 - First Name
Child 4 - Last Name
Child 4 - Hebrew Name
Child 4 - Date of Birth
Child 4 - Gender
N/A or Unknown
Male
Female
Child 4 - School grade
Child 4 - School Name
Child 4 - Are you registering this child in Religious School?
Please Select One
Yes
No
Yahrzeit Information
*
Do you have anyone to add for whom you wish to observe yahrzeit (memorial)? If, please select an option below:
Please Select One
No thanks
One yahrzeit
Two yahrzeits
Three yahrzeits
Four yahrzeits
Yahrzeit 1 - Deceased Name
Yahrzeit 1 - Relationship to:
Please Select One
Adult 1
Adult 2
Yahrzeit 1 - Date of Death
Relationship to you? Mother, father sister, brother, etc.
Yahrzeit 1 - I would like to observe the:
Please Select One
Civil date
Hebrew date
Yahrzeit 2 - Deceased Name
Yahrzeit 2 - Relationship to:
Please Select One
Adult 1
Adult 2
Yahrzeit 2 - Date of Death
Relationship to you? Mother, father sister, brother, etc.
Yahrzeit 2 - I would like to observe the:
Please Select One
Civil date
Hebrew date
Yahrzeit 3 - Deceased Name
Yahrzeit 3 - Relationship to:
Please Select One
Adult 1
Adult 2
Yahrzeit 3 - Date of Death
Relationship to you? Mother, father sister, brother, etc.
Yahrzeit 3 - I would like to observe the:
Please Select One
Civil date
Hebrew date
Yahrzeit 4 - Deceased Name
Yahrzeit 4 - Relationship to:
Please Select One
Adult 1
Adult 2
Yahrzeit 4 - Date of Death
Relationship to you? Mother, father sister, brother, etc.
Yahrzeit 4 - I would like to observe the:
Please Select One
Civil date
Hebrew date
Membership Information
Free Will Dues Membership Commitment
At Beth El Hebrew Congregation we do not believe finances should prohibit you from being a part of our congregation. We do not have a dues schedule and we do not ask for your personal finance documentation, instead we have “Free Will Dues”.
We look at our expected income and expenses for the upcoming year and tell you what we need each membership unit to give to break even. Some will have the capacity to give more, and some will give less depending on what is going on in their lives. We ask our members each year to look at their budget and make a pledge based on what they can afford and what is meaningful to them. We want to be important to you, but we don’t need to be as important as your mortgage, just important enough that you attend and participate in a way that matters.
This year our break-even number is $3,450.00.
Please remember your pledge does not include religious school fees or the two mandatory charges for security ($275) and building upkeep ($275).
*
My/Our Annual Free Will Dues Contribution Amount
*
Annual Required Fees:
Building Improvement Fund
Security Fund
Payment Arrangements
Please select your preferred payment method below then proceed to submit your application.
Please Select One
I wish to arrange my Membership online via credit card now
I wish to mail in a check
All applications are reviewed by our Executive Director and remain confidential.
My 2024-25 Membership Commitment
Thu, September 12 2024
9 Elul 5784
Thu, September 12 2024 9 Elul 5784