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Bet Torah Home Page
New Membership Form
Please verify reCaptcha before submitting the form.
BET TORAH - NEW MEMBERSHIP FORM
FAMILY INFORMATION
*
Address
*
City
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State
--Select State--
Alabama
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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
Please Select One
He/him
She/Her
They/Them
Member 1 - Maiden Name
if applicable
*
Member 1 - Occupation
if applicable
*
Member 1 - Cell Phone
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Member 1 - Email Address
*
Member 1 - Tribe
Cohen
Levi
Yisrael
None Set
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 - Interests
Adult Learning
Archives
Caring Committee
Community Service/Social Action
Holocaust Related
Interfaith
Israel & World Jewry
Library
LGBTQ+
Men's Club
Mitzvah Day
Sisterhood
Spirituality
Social Justice Committee
Worship & Music
Youth Committee
Member 1 - Professional Skills
Architect/Design
Business
Communications/Publicity
Computer Skills/Administrative
Event Planning
Finance/Financial Services
Fundraising
Legal
Maintenance/General Contracting
Medical
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?
Please Select One
Yes
No
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
Please Select One
He/Him
She/Her
They/Them
Member 2 - Maiden Name
if applicable
*
Member 2 - Occupation
if applicable
*
Member 2 - Cell Phone
*
Member 2 - Email Address
*
Member 2 - Tribe
Cohen
Levi
Yisrael
None Set
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 - Interests
Adult Learning
Archives
Caring Committee
Community Service/Social Action
Holocaust Related
Interfaith
Israel & World Jewry
Library
LGBTQ+
Men's Club
Mitzvah Day
Sisterhood
Spirituality
Social Justice Committee
Worship & Music
Youth Committee
Member 2 - Professional Skills
Architect/Design
Business
Communications/Publicity
Computer Skills/Administrative
Event Planning
Finance/Financial Services
Fundraising
Legal
Maintenance/General Contracting
Medical
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?
Please Select One
None
1 Child
2 Children
3 Children
4 Children
CHILD 1 INFORMATION
*
Child 1 - First Name
*
Child 1 - Last Name
*
Child 1 - Nickname
*
Child 1 - Date of Birth
MM/DD/YYYY
*
Child 1 - Pronoun
Please Select One
He/Him
She/Her
They/Them
*
Child 1 - Secular School
*
Child 1 - Current Grade
Child 1 - Interested in:
Nursery School
Kulanu
TLC
Club 4-5
Kadima 7-8
USY 8-12
Child 1 - Hobbies and Interests
CHILD 2 INFORMATION
*
Child 2 - First Name
*
Child 2 - Last Name
*
Child 2 - Nickname
*
Child 2 - Date of Birth
MM/DD/YYYY
*
Child 2 - Pronoun
Please Select One
He/Him
She/Her
They/Them
*
Child 2 - Secular School
*
Child 2 - Current Grade
Child 2 - Interested in:
Nursery School
Kulanu
TLC
Club 4-5
Kadima 7-8
USY 8-12
Child 2 - Hobbies and Interests
CHILD 3 INFORMATION
*
Child 3 - First Name
*
Child 3 - Last Name
*
Child 3 - Nickname
*
Child 3 - Date of Birth
MM/DD/YYYY
*
Child 3 - Pronoun
Please Select One
He/Him
She/Her
They/Them
*
Child 3 - Secular School
*
Child 3 - Current Grade
Child 3 - Interested in:
Nursery School
Kulanu
TLC
Club 4-5
Kadima 7-8
USY 8-12
Child 3 - Hobbies and Interests
CHILD 4 INFORMATION
*
Child 4 - First Name
*
Child 4 - Last Name
*
Child 4 - Nickname
*
Child 4 - Date of Birth
MM/DD/YYYY
*
Child 4 - Pronoun
Please Select One
He/Him
She/Her
They/Them
*
Child 4 - Secular School
*
Child 4 - Current Grade
Child 4 - Interested in:
Nursery School
Kulanu
TLC
Club 4-5
Kadima 7-8
USY 8-12
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?
Please Select One
None
1 Child
2 Children
3 Children
4 Children
OLDER CHILD 1 INFORMATION
*
Older Child 1 - First Name
*
Older Child 1 - Last Name
*
Older Child 1 - Nickname
*
Older Child 1 - Date of Birth
MM/DD/YYYY
OLDER CHILD 2 INFORMATION
*
Older Child 2 - First Name
*
Older Child 2 - Last Name
*
Older Child 2 - Nickname
*
Older Child 2 - Date of Birth
MM/DD/YYYY
OLDER CHILD 3 INFORMATION
*
Older Child 3 - First Name
*
Older Child 3 - Last Name
*
Older Child 3 - Nickname
*
Older Child 3 - Date of Birth
MM/DD/YYYY
OLDER CHILD 4 INFORMATION
*
Older Child 4 - First Name
*
Older Child 4 - Last Name
*
Older Child 4 - Nickname
*
Older Child 4 - Date of Birth
MM/DD/YYYY
SPECIAL ACCOMODATIONS
How can we help you participate in Temple life?
Visual Impairment
Audio Impairment
Physical 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?
Please Select One
None
One yahrzeit
Two yahrzeits
Three yahrzeits
Four yahrzeits
Deceased Name
Relationship
To whom
Please Select One
Member 1
Member 2
English Date of Death
Deceased Name
Relationship
To whom
Please Select One
Member 1
Member 2
English Date of Death
Deceased Name
Relationship
To whom
Please Select One
Member 1
Member 2
English Date of Death
Deceased Name
Relationship
To whom
Please Select One
Member 1
Member 2
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:
Please Select One
Young Member (under age 30)
Member
Sustaining Member
ADDITIONAL OPTIONS
I/we would like to learn more about Sisterhood:
Please Select One
Yes
No
I/we would like to learn more about Men's Club:
Please Select One
Yes
No
My/our child(ren) would like to learn more about Youth Engagment & Learning opportunities:
Please Select One
Yes
No
Member 1 - Electronic Signature
Date of submission
Sun, October 27 2024 25 Tishrei 5785