New Member Application - Form

Adult Member 1

Adult Member 2

* Last Name

Last Name

* First Name

First Name

Preferred Name

Gender

If you selected "n/a unknown", please specify here if you choose:

Pronoun

Please list any current Beth-El members who you are related to, and how you are related.

Birthdates of all members are required so that we may accurately process High Holiday tickets and Life Cycles. All information provided here is private and not shared. Thank you for your cooperation!

* Date of Birth (mm/dd/yyyy)

Date of Birth (mm/dd/yyyy)

* Marital Status

Marital Status

Anniversary date

* Email Address

Email Address

Hebrew First Name

Occupation/Title

Company Name

Business Telephone

* Mobile Phone

Mobile Phone

Special Needs

Address Information

* Street Address

Apartment #

* City

* State

* Zip Code

Home Phone Number

Family Information

Please complete this section as we consider all your children part of our family, regardless of age. (Please note that children under the age of 24 while a full-time student or under age 22 while unmarried are included in the membership.)

Children

1st Child

2nd Child

3rd Child

4th Child

Last Name

First Name

Birth Date

Age

Gender

School Grade

Secular School Name

College Student?

College Name

Email (if applicable)

Other Adults in Your Household

1st Adult

2nd Adult

3rd Adult

Name

Age

Relationship

Yahrzeits
Please list the names of loved ones for whom you wish Yahrzeit notices sent.
(Not urgent: you can add this to your account later!)

Name of Deceased

Relationship

Which Adult Member?

Secular Date

Before or After Sunset?

Name of Deceased

Relationship

Which Adult Member?

Secular Date

Before or After Sunset?

Name of Deceased

Relationship

Which Adult Member?

Secular Date

Before or After Sunset?

Name of Deceased

Relationship

Which Adult Member?

Secular Date

Before or After Sunset?

Name of Deceased

Relationship

Which Adult Member?

Secular Date

Before or After Sunset?

Membership categories: these are in addition to an annual security assessment of $200 and a Capital Fund Pledge of $1800 over the first five (5) years of membership ($360 annually).

Patron Member (optional annual donation in addition to dues, can be made in installments)

Patron Member: enter specific amount from level chosen

Dues Adjustment: Temple Beth-El membership is open to all, regardless of means. If you have a financial concern, please call Norma FIelder at 804-355-3564 to discuss an arrangement.

Temple Beth-El views membership as a covenantal relationship between each individual and the entire congregation. As such, we all have responsibilities toward each other. We at Temple Beth-El are committed to lead you and your family to deeper relationships with Judaism and community, help you thrive intellectually, emotionally, and spiritually, and inspire you to build a better world.

I/we agree to advance this purpose through involvement in congregational life, taking steps to grow Jewishly, to support others on their Jewish journeys, and to forge a more just, compassionate and peaceful society.

Membership at Temple Beth-El is a sacred commitment to sustain an institution that helps people thrive through Judaism. We at Temple Beth-El encourage your support, and there are many ways to contribute. Your annual dues are one crucial way we ensure our continued strength.

As such, I/we agree to pay annual dues and thereafter such annual dues as may be fixed in accordance with the Constitution of Temple Beth-El. I/we understand that should my/our marital, parental, or residency change, I/we will be expected to notify the synagogue of such change so that my/our membership category will be updated accordingly for the existing year. Otherwise, the membership category will remain until the new dues year.

Capital Fund Pledge: In understanding that others before me have underwritten the present physical plant of Temple Beth-El, I/we agree to pay $1800 in total over the first five (5) years of membership ($360 annually) as our contribution to the Capital Fund.

I/we hereby make application for membership to Temple Beth-El and promise, if accepted for membership, to honor the above commitments as well as abide by the Constitution and all the rules and regulations of Temple Beth-El.

* I have read and agree with the above.

I have read and agree with the above.

How did you hear about Temple Beth-El?

Name of previous Congregation affiliation:

City / State

What year did you leave?

Volunteer Opportunities

We encourage you to get involved in temple life and activities!

We will be in touch!

ADULT MEMBER 1: Check any or all categories that you may be interested in (not all examples listed).

Worship & Spirituality (lead minyan or shabbat services, chant torah, blow the shofar, deliver the d'var torah, play in Underground Band)Education (school office help, library help, tutoring, school event support)Tikun Olam (RISC: Richmonders Involved to Strengthen Our Communities; VICPP Virginia Interfaith Ctr for Public Policy, Annual Shoe Drive, etc.)Community (Mikveh or Torah maintenance, event support, Purim carnival, sukkah building, Caring Crews: support for TBE members, TBE office help, High Holiday pew inserts, serve on TBE Board, Men's Club Board, Sisterhood Board, or a committee)

ADULT MEMBER 2: Check any or all categories that you may be interested in (not all examples listed).

Worship & Spirituality (lead minyan or shabbat services, chant torah, blow the shofar, deliver the d'var torah, play in Underground Band)Education (school office help, library help, tutoring, school event support)Tikun Olam (RISC: Richmonders Involved to Strengthen Our Communities, VICPP Virginia Interfaith Ctr for Public Policy, Annual Shoe Drive, etc.)Community (Mikveh or Torah maintenance, event support, Purim carnival, sukkah building, Caring Crews: support for TBE members, TBE office help, High Holiday pew inserts, serve on TBE Board, Men's Club Board, Sisterhood Board, or a committee)

Optional: Please share anything else about yourself and your interests here.

Temple Beth-El 3330 Grove Ave. Richmond VA 23221 Phone 804-355-3564 Jacob & Selma Brown Religious School 601 N. Parham Rd Richmond VA 23229
Temple Beth-El