New Membership Form - Form

BET TORAH - NEW MEMBERSHIP FORM

FAMILY INFORMATION

* Address

* City

* State

* Zip Code

MEMBER 1 INFORMATION

* Member 1 - Title

* Member 1 - First Name

* Member 1 - Last Name

* Member 1 - Nickname

* Member 1 - Date of Birth

* Member 1 - Pronoun

Member 1 - Maiden Name

if applicable

* Member 1 - Occupation

if applicable

* Member 1 - Cell Phone

* Member 1 - Email Address

* Member 1 - Tribe

If you do not have Tribe, or do not know your Tribe, leave as "None Set"

Member 1 - B'nei Mitzvah Date

MEMBER 1 - INTERESTS & INVOLVEMENT

Bet Torah has a dynamic and involved membership, and we invite you to explore our many offerings and become involved in our congregational community. Please indicate below your areas of interest and share with us any professional experience, training, or expertise. Your participation will help strengthen our community and will make your Temple experience more meaningful. Information about Bet Torah committees, and clubs can be found on BetTorah.org or in you Membership package.

Member 1 - Hobbies and Interests

What special skills might you be interested in sharing with Bet Torah. (e.g. foreign language fluency, musical ability, etc.)

Member 1 - What are you interested in learning?

For example; cultural, experiential learning, torah study

Member 1 - Additional Comments:

* Is there a second Adult applying for membership?

MEMBER 2 - INFORMATION

* Member 2 - Title

* Member 2 - First Name

* Member 2 - Last Name

* Member 2 - Nickname

* Member 2 - Date of Birth

* Member 2 - Pronoun

Member 2 - Maiden Name

if applicable

* Member 2 - Occupation

if applicable

* Member 2 - Cell Phone

* Member 2 - Email Address

* Member 2 - Tribe

If you do not have Tribe, or do not know your Tribe, leave as "None Set"

Member 2 - B'nei Mitzvah Date

MEMBER 2 - INTERESTS & INVOLVEMENT

Bet Torah has a dynamic and involved membership, and we invite you to explore our many offerings and become involved in our congregational community. Please indicate below your areas of interest and share with us any professional experience, training, or expertise. Your participation will help strengthen our community and will make your Temple experience more meaningful. Information about Bet Torah committees, and clubs can be found on BetTorah.org or in you Membership package.

Additional Comments:

Member 2 - Hobbies and Interests

What special skills might you be interested in sharing with Bet Torah. (e.g. foreign language fluency, musical ability, etc.)

Member 2 - What are you interested in learning?

For example; cultural, experiential learning, torah study

Member 2 - Additional Comments:

CHILD(REN) INFORMATION - under the age of 18

* How many children under the age of 18 do you have?

CHILD 1 INFORMATION

* Child 1 - First Name

* Child 1 - Last Name

* Child 1 - Nickname

* Child 1 - Date of Birth

* Child 1 - Pronoun

* Child 1 - Secular School

* Child 1 - Current Grade

Child 1 - Hobbies and Interests

CHILD 2 INFORMATION

* Child 2 - First Name

* Child 2 - Last Name

* Child 2 - Nickname

* Child 2 - Date of Birth

* Child 2 - Pronoun

* Child 2 - Secular School

* Child 2 - Current Grade

Child 2 - Hobbies and Interests

CHILD 3 INFORMATION

* Child 3 - First Name

* Child 3 - Last Name

* Child 3 - Nickname

* Child 3 - Date of Birth

* Child 3 - Pronoun

* Child 3 - Secular School

* Child 3 - Current Grade

Child 3 - Hobbies and Interests

CHILD 4 INFORMATION

* Child 4 - First Name

* Child 4 - Last Name

* Child 4 - Nickname

* Child 4 - Date of Birth

* Child 4 - Pronoun

* Child 4 - Secular School

* Child 4 - Current Grade

Child 4 - Hobbies and Interests

CHILD(REN) INFORMATION - 18 years of age and older

* How many children 18 years of age and older do you have?

OLDER CHILD 1 INFORMATION

* Older Child 1 - First Name

* Older Child 1 - Last Name

* Older Child 1 - Nickname

* Older Child 1 - Date of Birth

OLDER CHILD 2 INFORMATION

* Older Child 2 - First Name

* Older Child 2 - Last Name

* Older Child 2 - Nickname

* Older Child 2 - Date of Birth

OLDER CHILD 3 INFORMATION

* Older Child 3 - First Name

* Older Child 3 - Last Name

* Older Child 3 - Nickname

* Older Child 3 - Date of Birth

OLDER CHILD 4 INFORMATION

* Older Child 4 - First Name

* Older Child 4 - Last Name

* Older Child 4 - Nickname

* Older Child 4 - Date of Birth

SPECIAL ACCOMODATIONS

How can we help you participate in Temple life?

Visual ImpairmentAudio ImpairmentPhysical Challenges

Others things we should know:

Family members needing accomodations:

YOUR BET TORAH FAMILY TREE INFORMATION

Please enter the name and relationship of your relatives who are already Bet Torah members (use a separate line for each entry):

YAHRZEIT NOTIFICATION

* How many yahrzeits would you like to observe?

Deceased Name

Relationship

To whom

English Date of Death

Deceased Name

Relationship

To whom

English Date of Death

Deceased Name

Relationship

To whom

English Date of Death

Deceased Name

Relationship

To whom

English Date of Death

CEMETERY INFORMATION

If you own a cemetery property, please provide the name and location of the cemetery

MEMBERSHIP OPTIONS

I would like to join Bet Torah as a:

ADDITIONAL OPTIONS

I/we would like to learn more about Sisterhood:

I/we would like to learn more about Men's Club:

My/our child(ren) would like to learn more about Youth Engagment & Learning opportunities:

Member 1 - Electronic Signature

Date of submission