Temple Beth El Membership Form - Form

Adult 1

* First Name

Middle Name

* Last Name

* Birthday

Title

Preferred Name

Hebrew Name

Please include your parents' Hebrew names, if known. If you don't have a Hebrew name or don't know it, feel free to skip this question.

Gender

Pronouns

Please share your pronouns. Pronouns are the part of speech used to refer to someone in the third person. We want to know how to respectfully refer to you! Answers could include she/her; he/him; they/them; prefer not to say; etc.

* Primary Phone Number

* Primary Phone Type

Secondary Phone Number

Secondary Phone Type

* Email

Your form submission confirmation will be sent to this address.

* What is your relationship to Judaism?

For example, "I go to Shabbat services every week," "I was raised Jewish, but am not really religious" "my partner is Jewish, but I'm not," or "I'm interested in converting to Judaism." Feel free to include areas of interest as well, such as ritual, culture, food etc.

Can TBE use photos of you in print and/or online publications?

What is your marital status?

Will there be a second adult on your account?

Wedding Anniversary

If applicable.

Adult 2

First Name

Middle Name

Last Name

Birthday

Title

Preferred Name

Hebrew Name

Please include your parents' Hebrew names, if known. If you don't have a Hebrew name or don't know it, feel free to skip this question.

Gender

Pronouns

Primary Phone Number

Primary Phone Type

Secondary Phone Number

Secondary Phone Type

Your form submission confirmation will be sent to this email.

Please do not input the same email as Adult 1.

What is their relationship to Judaism?

Can TBE use photos of you in print and/or online publications?

Do you have any children?

Please note that only children ages 23 and younger are included in your membership, but we collect information on all children so we can get a complete idea of your family. Those ages 24 and older will be linked to your account, but won't be a part of your membership.

Child 1

First Name

Middle Name

Last Name

Preferred Name

Birthday

Gender

Pronouns

Please share your child's pronouns. Pronouns are the part of speech used to refer to someone in the third person. We want to know how to respectfully refer to them! Answers could include she/her; he/him; they/them; prefer not to say; etc.

Hebrew Name

Please include the child's and the parents' Hebrew names.

Can TBE use photos of your child in print and/or online publications?

Do you have another child?

Child 2

First Name

Middle Name

Last Name

Birthday

Gender

Pronouns

Hebrew Name

Please include the child's and the parents' Hebrew names.

Can TBE use photos of your child in print and/or online publications?

Do you have another child?

Child 3

First Name:

Middle Name

Last Name:

Birthday

Gender

Pronouns

Hebrew Name

Please include the child's and the parents' Hebrew names.

Can TBE use photos of your child in print and/or online publications?

Do you have another child?

Child 4

First Name

Middle Name

Last Name

Birthday

Gender

Pronouns

Hebrew Name

Please include the child's and the parents' Hebrew names.

Can TBE use photos of your child in print and/or online publications?

Address(es)

* Billing/Home Address

* City

* State

* Zip/Post Code

Mailing Address (if different)

City

State

Zip/Post Code

* Billing Delivery Preference:

TBE Directory

TBE members have access to a member directory and, upon creating a login, have the ability to change what is shown. The member directory will be organized by member households and will include the following information by default:

- Adult Name(s)
- Adult Preferred Name(s)
- Address
- Home Phone (if applicable)
- Adult Mobile Number(s)
- Adult Occupation(s)
- Adult Birthday(s) (Month and Day, not Year)
- Adult Email Address(es)
- Children’s Name(s) (if applicable)
- Children’s Preferred Names (if applicable)

* Would you like to be included in the member directory?

Choose Your Voluntary Annual Contribution

Temple Beth El operates on a voluntary annual contribution system to ensure that there are no financial barriers to membership. Your support enables us to offer welcoming services, holiday celebrations, innovative cultural and educational programming for all ages, and caring support throughout the life cycle to our members. As a reference point for determining your annual contribution, the actual cost per member household is $3,000. We understand that some will not be able to contribute at that level, and it is our hope that others will consider joining TBE as a Community Level Supporter by contributing beyond that amount. This way, we can ensure that TBE will continue to be a vibrant home for Jewish life that welcomes all.

Your support allows us to open our doors in so many ways. Your generosity is deeply appreciated. Todah rabah – thank you!

* Annual Contribution Commitment

* Please enter the amount you would like to pay annually.

* What payment schedule do you prefer?

Next Steps

After submitting this form, you will officially be a Temple Beth El member! Welcome! One of our members will be reaching out to you to welcome you to the community. Additionally, Rabbi Estrin and staff members would love to set up a time to get to know you, learn about your specific interests, etc. We'd also like the opportunity to give you a brief orientation to our programs, building, service, and leadership. We prefer to conduct this follow up in person, by phone, or video call, but if that is a problem for any reason it can also be done by email.

* Follow-up Preference

If yes, please give us a sense of your availability over the next two weeks.

We will contact you to propose a couple of meeting time options.

Questions for Us?

If you have any questions you'd like to make sure we discuss in our follow up to you, or any other general notes you'd like to make, please include that information here.