Membership Application - Form - Congregation B'nai Israel

Member 1: First name

Member 1: Last name

Member 1: Date of birth

Member 1: Place of birth

Member 1: Marital status

Date of marriage (if applicable)

Member 1: Email address

Member 1: Cell phone

* Member 1: Occupation/Title

* Member 1: Employer

Member 1: Work phone

Member 1: Religion

* Member 1: Religious affiliation

Member 1: Jewish

By birthBy choice

Member 1: Date and place of conversion

Member 1: Hebrew name

Please include your name, your father's name & your mother's name
Example: Isaac ben Abraham v'Sarah (ben = son of, bat = daughter of; v = and)

Member 1: Bar/Bat Mitzvah date

Member 1: Can you read Hebrew and/or chant Torah?

Read HebrewChant Torah

Member 1: Do you have relatives at Congregation B'nai Israel? If yes, please list names and relationship.

We welcome our members to become involved in Temple life and activities.
Please check any activities that interest you. We will be in touch!

Member 1: If other, please specify:

Address

City

Province

Postal Code

Home phone number

Is there a second Adult applying for membership?

Member 2: First name

Member 2: Last name

Member 2: Date of birth

Member 2: Place of birth

Member 2: Marital status

Member 2: Email address

Member 2: Cell phone

Member 2: Occupation/Title

Member 2: Employer

Member 2: Work phone

Member 2: Religion

* Member 2: Religious affiliation

Member 2: Jewish

By birthBy choice

Member 2: Date and place of conversion

Member 2: Hebrew name

Please include your name, your father's name & your mother's name
Example: Isaac ben Abraham v'Sarah (ben = son of, bat = daughter of; v = and)

Member 2: Bar/Bat Mitzvah date

Member 2: Can you read Hebrew and/or chant Torah?

Read HebrewChant Torah

Member 2: Do you have relatives at Congregation B'nai Israel? If yes, please list names and relationship.

We welcome our members to become involved in Temple life and activities.
Please check any activities that interest you. We will be in touch!

Member 2: If other, please specify:

Does Member 2 live at the same address as Member 1?

Address

City

Province

Postal Code

Number of children:

* Applies to each of your children who reside with you.

Child 1: First name

Child 1: Last name

Child 1: Birth date

Child 1: Gender

Child 1: School grade fall 2021

Child 1: School Name

Child 1: Hebrew name

Child 2: First name

Child 2: Last name

Child 2: Birth date

Child 2: Gender

Child 2: School grade fall 2021

Child 2: School Name

Child 2: Hebrew name

Child 3: First name

Child 3: Last name

Child 3: Birth date

Child 3: Gender

Child 3: School grade fall 2021

Child 3: School Name

Child 3: Hebrew name

Child 4: First name

Child 4: Last name

Child 4: Birth date

Child 4: Gender

Child 4: School grade fall 2021

Child 4: School Name

Child 4: Hebrew name

Please list all Adult children who do NOT reside with you

Please enter the number of people for whom you wish to observe yahrtzeit (memorial)

* A Yahrzeit reminder notice will be sent to you every year.

Please list the names of loved ones for whom you wish Yahrzeit notices sent

(1) Name of deceased

(1) Relationship

(1) To whom

(1) Date of death

(1) Time of death

Before sunsetAfter sunset

(1) I'd like to observe the

Gregorian DateHebrew Date

(2) Name of deceased

(2) Relationship

(2) To whom

(2) Date of death

(2) Time of death

Before sunsetHebrew Date

(2) I'd like to observe the

Gregorian DateHebrew Date

(3) Name of deceased

(3) Relationship

(3) To whom

(3) Date of death

(3) Time of death

Before sunsetAfter sunset

(3) I'd like to observe the

Gregorian DateHebrew Date

(4) Name of deceased

(4) Relationship

(4) To whom

(4) Date of death

(4) Time of death

Before sunsetAfter sunset

(4) I'd like to observe the

Gregorian DateHebrew Date

(5) Name of deceased

(5) Relationship

(5) To whom

(5) Date of death

(5) Time of death

Before sunsetAfter sunset

(5) I'd like to observe the

Gregorian DateHebrew Date

(6) Name of deceased

(6) Relationship

(6) To whom

(6) Date of death

(6) Time of death

Before sunsetAfter sunset

(6) I'd like to observe the

Gregorian DateHebrew Date

How did you hear about Congregation B'nai Israel?

Reason(s) for joining our synagogue:

Congregation B'nai Israel (CBI) is open to any Jew regardless of income. Our ability to welcome all Jews who wish to worship with us depends on the generosity of our congregants. To ensure that this tradition continues, we ask that you be thoughtful about your financial ability to contribute and remember that you state your pledge within our guidelines and there are no other dues, High Holiday donations or asks throughout the year, other than programming or special events. Be part of the community and give until it feels good.

Please choose a Membership Pledge for 2021-2022

Please Note:
In recognition of their financial leadership, there will be acknowledgement in the Kolenu of all pledges at the Sustaining Pledge level and above unless anonymity is requested.
Pillars shall participate in all programs/functions and meals at no additional charge.
All pledges will be reviewed by the Supporting Pledge Financial Committee prior to acceptance.
An acknowledgement of each pledge will be sent.
High Holiday Tickets included in membership
To receive High Holiday Tickets, all past balances must be paid in full, and a minimum of 25% of the current year’s Pledge paid.

* Please enter your $ pledge below:

Total Commitment