Temple Beth David Membership Form - Form - Temple Beth David

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Temple Beth David Membership Form

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Welcome to Temple Beth David- a warm and dynamic Reform Synagogue of over 250 families. Completing this membership form will help us get to know you and your family and help to further your involvement in the synagogue.

We ask that each member support our community financially to the best of their ability so that Temple Beth David may remain healthy and vibrant. Please know that we will not turn anyone away due to inability to pay full dues.

Membership dues and tuition are typically invoiced on July 1st of each year. As a courtesy, we allow for payment plans, payment by credit card, and ACH Debit/Echeck.

For general questions, please contact Leslie at the Temple Beth David office. To discuss your specific financial situation, please contact Temple President Alana Sharenow at president@templebethdavid.net.

Thank you for joining our community!

General Information

Name of person completing form.

* First Name

* Last Name

* Street

* City

* State

Apartment/Unit # (if applicable)

Zip Code

Home Phone Number

Marital Status

MarriedSinglePartner

What are you looking for in a Synagogue?

Have you belonged to another synagogue in the past three years? If so, which? Please include location.

Connections

How did you hear about us?

Do you have any relatives or close friends who are current members of Temple Beth David? If yes, please list name(s) and relationship(s).

Member Information

* Your Membership Category

Please Select OneYoung Adult Single (to age 35)Young Adult Couple (to age 35)Family with Young Children (preschool age or younger)Family with Young Children (Shalom Corner Family)Introduction to Religious School (eldest child Grades K-2 and complimentary membership one year only)First Year/Rising Full SingleFirst Year/Rising Full FamilyFull SingleFull FamilyJewish Day School Family (families with 1 or more children attending Jewish Day School)Other
Please read this important document. It contains important information about your Membership Commitment, care of our building, Shorashim tuition and Temple Beth David payment guidelines.
2023-2024 Membership Commitment Information.

*If you are not sure which category to choose, please email info@templebethdavid.net.

If you selected "Other," please explain below.

Member A

Member B (if applicable)

Title A

* First Name A

* Last Name A

Title B

First Name B

Last Name B

Birthday A

Birthday B

Marriage Anniversary (if applicable)

* Mobile number A

Mobile number B

* Email A

Email B

Occupation A

Occupation B

Employer A

Employer B

* Member A name tag should read:

Member B name tag should read:

Member A Hebrew Name (if applicable)

Please transliterate.

Member B Hebrew Name (if applicable)

Please transliterate.

Member A - Father's Hebrew Name (if applicable)

Member B - Father's Hebrew Name (if applicable)

Member A - Mother's Hebrew Name (if applicable)

Member B - Mother's Hebrew Name (if applicable)

Children

Children are included as part of your Family Membership up to the age of 25 years.

Do you have any children?

Where do they live? (You can check both)

At homeOut of my home

Please let us know about your kids, big and small, so we can learn more about you.

Child 1

First Name

Last Name

Gender

Birthday

Mobile #

School

Grade Level

Child 2

First Name

Last Name

Gender

Birthday

Mobile #

Mobile #

School

Grade Level

Child 3

First Name

Last Name

Gender

Birthday

Mobile #

School

Grade Level

Child 4

First Name

Last Name

Gender

Birthday

Mobile #

School

Grade Level

If you have more than 4 children, please provide their information here

More information about children

Will you be registering any children for Shorashim Religious School?

NoYes

How many students will attend Shorashim Religious School?

Which grades?

Will you be registering any children for Shalom Corner Early Learning Center?

NoYes

How many students will attend Shalom Corner Early Learning Center?

Their ages?

Special Considerations

Does anyone in your family have special needs of which we should be aware? Please provide information below.

Yahrzeit Information

Are there any Yahrzeits you would like to observe?

Observer Name

Name of Deceased

Name of Deceased

Date of Death

Before or after sundown

Gender

Relationship to observer

Observer Name

Name of Deceased

Date of Death

Before or after sundown

Gender

Relationship to observer

You may add more Yahrzeits once you complete this form and access your account.

Photo/Video Release

I/We hereby authorize Temple Beth David to photograph or videotape me (and/or my spouse or partner), and to use my/our likeness in any of its publications or media, including on-line media, unless otherwise notified in writing by me (or my spouse or partner). I/We also hereby release Temple Beth David from any liability that may arise out of the use of my/our likeness.

I/We hereby authorize Temple Beth David to photograph or videotape my/our children, identified below, and to use their likeness in any of its publications or media, including on-line media, unless otherwise notified in writing by me. I/We also hereby release Temple Beth David from any liability that may arise out of the use of their likeness.

Names of Children

Wed, April 24 2024 16 Nisan 5784

Temple Beth David

7 Clapboardtree Street

Westwood, MA 02090

781-769-5270

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