New Member Application 2024-2025 - Form - Beth David B'nai Israel Beth Am

Welcome and thank you for choosing Beth David B'nai Israel Beth Am as your synagogue. You will soon discover what makes Beth David the ideal place for you and your family to Participate, Learn and Grow!

We offer various membership levels to meet the needs of your family.

Family Membership includes couples, married or common law, and dependent children under 18.

Single Membership includes individuals and their dependent children under 18.

2024-2025 RATES
		Married		Single
		Membership	Security	Membership	Security
Regular Annual Membership		$2650.00	$200.00	$1325.00	$100.00
Promotional Annual Membership	1^st year	$500.00	$150.00	$250.00	$75.00
	2^nd year	$1,000.00	$150.00	$500.00	$75.00
	3^rd year	$1,500.00	$150.00	$750.00	$75.00


		Married		Single
		Membership	Security	Membership	Security
Young Adult Membership (18-40)		$150.00	$50.00	$75.00	$25.00
Montessori Jewish Day School		$150.00	$50.00	$75.00	$25.00
Associate Membership		$360.00	$50.00	$180.00	$25.00

* Adult 1 - First Name

* Adult 1 - Last Name

* Adult 1 - Date of Birth

* Adult 1 - Gender

Specify

Adult 1 - Cell Phone

* Adult 1 - Email

* Adult 1 - Marital Status

Specify

Adult 1 - Anniversary

if applicable

* Adult 1 - Address

* Adult 1 - City

* Adult 1 - Postal Code

Adult 1 - Home Phone

Adult 1 - Occupation

Adult 1 - Employer

Adult 1 - Work Phone

Adult 1 - Work Email

is applicable

Adult 1 - Hebrew Name

Adult 1 - Father's Hebrew Name

Adult 1 - Mother's Hebrew Name

* Adult 1 - Tribe

* Adult 1 - Religious Status

Which of the following committees would you like to join:

Other:

Adult 1 - What are your hobbies?

Adult 1 - Do you have special skills or interests that you would like to volunteer?

Adult 1 - What about membership most interests you? (socializing, family programming, adult education, children's education, services, etc.)

How did you hear about Beth David?

* Is there a second adult applying for membership?

* Adult 2 - First Name

* Adult 2 - Last Name

* Adult 2 - Gender

* Adult 2 - Date of Birth

Adult 2 - Cell Phone

* Adult 2 - Email

* Adult 1 - Marital Status

Adult 2 - Anniversary

if applicable

Adult 2 - Occupation

Adult 2 - Employer

Adult 2 - Work Phone

Adult 2 - Work Email

is applicable

Adult 2 - Hebrew Name

Adult 2 - Father's Hebrew Name

Adult 2 - Mother's Hebrew Name

* Adult 2 - Tribe

* Adult 2 - Religious Status

Which of the following committees would you like to join:

PersonnelHouse & PropertySisterhoodOther, please describe:

Other:

Adult 2 - What are your hobbies?

Adult 2 - Do you have special skills or interests that you would like to volunteer?

Adult 2 - What about membership most interests you? (socializing, family programming, adult education, children's education, services, etc.)

* How many children under 18 years are in your immediate family?

* Child 1 - First Name

* Child 1 - Last Name

Child 1 - Hebrew Name

* Child 1 - Birth Date

Child 1 - Email

* Child 1 - Gender

* Child 1 - Name of School

* Child 1 - Marital Status

* Child 1 - Lives at home?

* Child 1 - Address

* Child 1 - City

* Child 1 - Province

* Child 1 - Postal Code

* Child 2 - First Name

* Child 2 - Last Name

Child 2 - Hebrew Name

* Child 2 - Birth Date

Child 2 - Email

* Child 2 - Gender

* Child 2 - School/Occupation

* Child 2 - Marital Status

* Child 2 - Lives at home?

* Child 2 - Address

* Child 2 - City

* Child 2 - Province

* Child 2 - Postal Code

* Child 3 - First Name

* Child 3 - Last Name

Child 3 - Hebrew Name

* Child 3 - Birth Date

Child 3 - Email

* Child 3 - Gender

* Child 3 - School/Occupation

* Child 3 - Marital Status

* Child 3 - Lives at home?

* Child 3 - Address

* Child 3 - City

* Child 3 - Province

* Child 3 - Postal Code

* Child 4 - First Name

* Child 4 - Last Name

Child 4 - Hebrew Name

* Child 4 - Birth Date

* Child 4 - Email

* Child 4 - Gender

* Child 4 - School/Occupation

* Child 4 - Marital Status

* Child 4 - Lives at home?

* Child 4 - Address

* Child 4 - City

* Child 4 - Province

* Child 4 - Postal Code

It is custom at Beth David to read the names of loved ones who are no longer with us on the anniversary of their passing. You will be notified before the date of your loved one's yahrzeit.

How many yahrzeits would you like to observe?

Yahrzeit 1 - Deceased English Name

Yahrzeit 1 - Deceased Hebrew Name

Yahrzeit 1 - ben/bat of:

Yahrzeit 1 - Relationship

* Yahrzeit 1 - Relationship to:

Yahrzeit 1 - English Date of Death

Yahrzeit 1 - Hebrew Date of Death

Yahrzeit 2 - Deceased English Name

Yahrzeit 2 - Deceased Hebrew Name

Yahrzeit 2 - ben/bat of:

Yahrzeit 2 - Relationship

* Yahrzeit 2 - Relationship to:

Yahrzeit 2 - English Date of Death

Yahrzeit 2 - Hebrew Date of Death

Yahrzeit 3 - Deceased English Name

Yahrzeit 3 - Deceased Hebrew Name

Yahrzeit 3 - ben/bat of:

Yahrzeit 3 - Relationship

* Yahrzeit 3 - Relationship to:

Yahrzeit 3 - English Date of Death

Yahrzeit 3 - Hebrew Date of Death

Yahrzeit 4 - Deceased English Name

Yahrzeit 4 - Deceased Hebrew Name

Yahrzeit 4 - ben/bat of:

Yahrzeit 4 - Relationship

* Yahrzeit 4 - Relationship to:

Yahrzeit 4 - English Date of Death

Yahrzeit 4 - Hebrew Date of Death

* Please select a Membership category:

Your 2024/25 Security Contribution is $150

Your 2024/25 Security Contribution is $75

Your 2024/25 Security Contribution is $50

Your 2024/25 Security Contribution is $25

Your 2024-2025 Commitment is:

Please click the submit below to arrange online payment now.