Temple Judea Membership Form

We are so happy that you've decided to join Temple Judea!

We are a membership community, made up of individuals and families who commit to one another and to the principles of Reform Judaism. At the core of who we are is connection and community, so please help us get to know you and other members of your household by completing the form below.

This is just the start of our getting to know one another. We look forward to officially welcoming you into the Temple Judea family!

Before moving ahead: It is important that you login at top right before completing the form.
Look for this above and be sure to enter your name. If you are already in the system, some portions of the form will be filled in for you.

Note: Please ensure every question is answered accurately and completely. Some fields may be pre-filled with information you already provided. It's important that you check carefully and make corrections as needed. It's also important to complete any empty fields.

YOUR HOUSEHOLD INFORMATION

How many adults in your household are joining Temple Judea on this account? (Maximum 2)

OneTwo

Member 1: Tell us about yourself and how to reach you.

* Last Name - Member 1

* First Name - Member 1

Hebrew Name - Member 1 (Optional)

* Email address - Member 1

* Mobile Phone - Member 1 (Format: (818) 222-2222)

Home Phone - Member 1 (Format: (818) 222-2222; Leave blank if no home phone)

* Birthdate - Member 1

* Address (Number, street, and unit/suite)

Occupation (Optional)

Business Name (Optional)

Anniversary (If Applicable)

Member 2: If there is another adult member of your household sharing your account, please tell us about them here. If not, please write "none" in the "First Name" and "Last Name" sections below.

* Last name - Member 2

* First Name - Member 2

Hebrew Name - Member 2 (Optional)

* Email address - Member 2

Mobile Phone - Member 2 (Format: (818) 222-2222)

Birthdate - Member 2

Occupation - Member 2 (Optional)

Business Name - Member 2 (Optional)

Child(ren) on your account: Children 25 and younger are included in your membership. Please tell us about them here.

Have older children? You'll have a chance to tell us about them in a later section of this form.

How many children under the age of 25 do you have?

First name

Last Name

Birthdate (mm/dd/yr)

Gender

If enrolled in school, what grade in the 23-24 year?

Please share anything else we should know about your child.

*If you have an older student with an email address who would like to receive direct communications and reminders about school, camp, Youth & Family programs, etc., please share their email address here.

Email address

Mobile number

* *I have thoroughly reviewed the information provided above and made any necessary edits. The information is current and accurate. I understand that this information will be used for congregational communications.

*I have thoroughly reviewed the information provided above and made any necessary edits. The information is current and accurate. I understand that this information will be used for congregational communications.

YOUR EXTENDED CONNECTIONS

Connections @ Temple Judea: Please list any friends or relatives who are members of the Temple Judea community and their relationship to you. (e.g.: Kim Birbrower: Member 1's cousin).

Tell us who you know, giving name(s) and relationship(s) to Member 1 or Member 2:

Children 26+ and Non-Member Immediate Family: In case of an emergency, and in anticipation of sharing your important lifecycle events with our community, please list any other immediate family members not included above you'd like us to know about: your adult children (and grandchildren), parents, siblings and their children -- even if they are not Temple members.

Tell us about the rest of your family, giving name(s) and relationship(s) to Member 1 or Member 2:

Ancestors You Want to Honor: Tell us about any family members whose Yahrzeit (anniversary of death) you would like us to remember. Please be sure to provide the name, relationship, and date of death of your loved one. If you do not have the date of death at this time, you may complete this section later from your account.

Tell us about any Yahrzeits. Please note we use the English date. To add more than one person, click the "+" sign to add additional names.

Name of deceased loved one

English date of death

Before sunset?

YesNo

We default to the English observance. Please indicate if you would prefer the Hebrew observance.

English date observanceHebrew date observance

Relationship, to whom

GETTING TO KNOW YOU BETTER

* WHY YOU'RE JOINING. Tell us the reasons you're joining Temple Judea. Check all that apply.

PROGRAM INTERESTS. Please select the boxes of the programs that spark your interest, and someone will reach out with additional information. Check all that apply.

SCHOOL INTERESTS. In addition, we have wonderful educational programs for students from kindergarten through high school. If you are interested in enrolling in or learning more, click the corresponding boxes below, and one of our staff will be in touch. Check all that apply.

Early Childhood Center & Parenting CenterReligious School (Kindergarten - 3rd Graders)Religious School (4th - 6th Graders)Camp Sababa (Kingergarten - 7th Graders)Jewish Teen Journeys Programming (7th - 12th graders)B'nei Mitzvah and/or Confirmation Program

Tell us about any other reasons you've joined or programming you're hoping to find at Temple Judea.

TALENTS & HOBBIES. Tell us about any talents, hobbies, or skills you might contribute.

HOW YOU FOUND US. Use the pull down menu to share how you found us.

Name of the person who referred you:

Name of the publication where you learned about us:

SPECIAL NEEDS OR ACCOMMODATIONS. Do you have any special needs or accommodations that we should be aware of?

ANNUAL FINANCIAL COMMITMENT

Like all synagogues, Temple Judea relies on contributions from every family to support our general operations, which allow us to hire staff, run and maintain our programs, our facilities, and everything we do.

Standard Membership does not fully cover our expenses. While Temple Judea does not turn away anyone for legitimate financial reasons, we strongly encourage individuals to pay according to their means. If you are financially able, we ask that you work a full annual commitment into your budget and make temple membership a priority investment in your Jewish lives. Consider giving at the highest level for which you qualify, or even something extra. Each of us has a stake in maintaining Temple Judea. By committing on an annual basis, you help our synagogue predict and budget, which ensures we meet our day-to-day operating expenses, plan successful programs, and provide support to community members in need.

When families experience hardship and legitimately cannot pay full Annual Commitment, we work with them confidentially to determine an appropriate annual commitment level. Please contact Richard Hoffman at memberservices@templejudea.com to begin this conversation.

* MEMBERSHIP CONTRIBUTION. The membership year runs from July 1 to June 30. If you join after October 1, we can prorate your membership based on our fiscal year. Payments can be spread out during the year in virtually any schedule you'd like, but this does not constitute "monthly membership." When you join, you are committing to fulfilling these total amounts by June.

SECURITY ASSESSMENT. All members of our community contribute $410 this year to keep our campus and our visitors safe. This amount is not intended to be optional. It is in addition to our customary Annual Committment to provide needed security measures to protect everyone who enters our facilities safe from harm and to against the rising threat of cyber security. This amount will be added to your annual billing statement.

TOTAL MEMBERSHIP CONTRIBUTION (including security assessment)

IMPORTANT NOTE: Your Annual Membership Contribution DOES NOT include the following optional enrollments. If you choose to enroll in or attend these programs, additional fees may be assessed.
• Tuition for Early Childhood Education / Parenting Center
• Tuition for Religious School
• Tuition for Camp Sababa
• B'nei Mitzvah fees
• Events, classes, dinners, or concerts that have an additional fee
• Participation with our auxiliary groups

* AUXILIARY GROUPS. Please consider making a donation in support of these special auxiliary groups, which will be billed separately on your account. These are groups within our larger community that offer special programming. It's a wonderful way to get to know people like you, quickly. And further support Temple Judea at the same time!

Women of Temple Judea membership $54Brotherhood membership $50TJVillage - our senior adults $36ARZA - supports Reform Judaism worldwide $50None of the above

We rely on every family contributing at the level appropriate to them. But we understand that for some families, temple membership is simply not affordable. Temple Judea has limited funds, thanks to the generosity of other temple members, to offer financial assistance to those family with true financial need.

Families with Nursery School children should click here for the form to apply for Financial Assistance. Please indicate that on the next question, complete the form, submit it, and we will be in touch with you.

All others, please proceed with this form.

* Do you require Financial Assistance?

Please Select OneNo assistance necessary; I can contribute my full shareI will fill out the separate form for ECC familiesYes I need Financial Assistance; I cannot afford my full share

Please tell us your occupation(s), gross income from 2021, and anticipated gross income for 2022.

Do you own or rent your home? What is your monthly mortgatge/rent payment?

What car(s) do you own/lease? What is the monthly payment of each?

If you are making tuition payments for your children, please explain. Include amounts.

Please explain any other significant financial obligations.

We ask that you consider the maximum amount you can contribute to help support the Temple Judea community.

Please note that your total financial obligation would include the Annual Membership Contribution, $410 per family Security fee, any optionals you chose to support, and tuition for any school programs.

This annual commitment must be fulfulled by the coming June. We do offer a number of payment options but please note: if you pay monthly, this does not constitute a monthly membership. You are responsible for the entire amount.

What are you able to contribute for your temple membership?

An amount payable between now and June. This should be a stretch in your budget, and require some compromise on your part in order to meet this obligation.

We will contact you once the committee has had a chance to review your request. Please expect to wait 2 - 3 weeks for a response.

You agree that all the information you provided on this form is true and accurate. You give permission for the VP Finance, the Executive Director, CFO or their designates, to independently verify any of the information provided, with the condition that all information is kept strictly confidential.

You agree to keep the nature of any financial arrangement you make with Temple Judea strictly confidential. Any breach of confidentiality may result in the dissolution of your arrangement.

Any agreement made is done so on a year at a time basis; subsequent years may/will require submission of new application.

You agree that a condition of this arrangement is to be set up on automatic payments to a credit or debit card.

Before moving ahead: It is important that you login at top right before completing the form. Look for this above and be sure to enter your name. If you are already in the system, some portions of the form will be filled in for you.

Before moving ahead: It is important that you login at top right before completing the form.
Look for this above and be sure to enter your name. If you are already in the system, some portions of the form will be filled in for you.