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5784 CBA Membership (2023-2024)

Please note: For current Beth Am members, and those who have a login. Please make sure you are logged into your membership portal before filling out this form. If you have forgotten your login or have never logged into the website, please click here and follow the instructions. If still having troubles, please contact Susan Mualim at 858.481.8455 or susan@betham.com

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Thank you again. We appreciate the time you spent with us. Remember, Congregation Beth Am will always be a home to you. If you have any questions or concerns, please feel free to contact either our Executive Director, Gilad Hoffman.
Please note: There is no difference between Member 1 (A1) and Member 2 (A2), but we do have information attached to those names that you are not reviewing and changing the order will then affect the other information.

Beth Am New Membership Form 2023-2024

Welcome from your new Beth Am family. Our Beth Am family is inclusive, alive and growing, and we hope it will include you. From newly married couples, young families and singles, to pre/post B’nei Mitzvah families, empty nesters and seniors, there’s no doubt you’ll find your place at Beth Am. We are excited for you to be part of our vibrant Jewish community and hope you’ll call Beth Am home for worship, learning, holidays, family and Jewish celebration.

Please fill out the form below and we will be in touch with you to see how we can make Beth Am your new home for worship and community.

All membership plans include High Holy Day tickets for you and your immediate family members currently living in your home.

Membership Benefits Include:

All of our members enjoy the following benefits and opportunities:
  • Pastoral care & life cycle moments.
  • ​​​​​​Traditional & innovative prayer experiences.
  • Complimentary tickets to High Holy Day services for you and your immediate family members currently living in your home.
  • Free or discounted admission to classes & events.
  • Options for discounted tuition to ECC, JLC, & Sabra.
  • Gatherings to connect you to the community & build friendships.
New members will also get for the 1st year:
  • Free membership dues to our Women's Circle and Men's Club (pay the member price for events and attend member-only events.)
  • New member event to introduce you to other families in our community.
And more...
For a detailed membership description, please click here.


Personal Information
Dr | Hon | Mr | Mrs | Ms | Miss | Mix
Hebrew Names:
Please fill out the fields below. If you do not have a Hebrew name, just write in n/a. If you do not know your mother or father's Hebrew names or they do not have one, just write in their English names.
Occupation:
Please fill out the fields below. If you are retired, please fill in "retired" in the field. If you are currently unemployed, please fill in "n/a"

Secondary Household Information
Dr | Hon | Mr | Mrs | Ms | Miss | Mix
Hebrew Names:
Please fill out the fields below. If they do not have a Hebrew name, just write in n/a. If they do not know their mother or father's Hebrew names or they do not have one, just write in their English names.
Occupation:
Please fill out the fields below. If they are retired, please fill in "retired" in the field. If they are currently unemployed, please fill in "n/a"

Family Information Section
If appropriate
If appropriate
If appropriate
If appropriate

Example: Joshua & Rachel Steinberg, aunt of Rebecca

Example:
Adam Cohen: Hebrew Name: Adam ben Avraham v'Sarah. Date: January 1, 1990 (before sundown) Grandfather of Rachel
Membership Option Section

Enhanced "Nadiv Lev" Membership Options:
Click here for a full description of what is included.
  • Ba'al Halomot Membership: (Visionary) $10,000 *
  • Ba'al Halomot Membership: Family (Visionary) $10,000 *
  • Shamar Membership: (Preserver) $7,500 *
  • Tomekh Membership: (Supporter) $5,000 *
    * Please note, Debt Service Fund and  annual Security Fee are included in the Nadiv Lev membership cost.
Family Membership Options:
  • Standard Membership: TOTAL: $3,819 ($3,020 + $500 Debt Service Fee + $299 Security)
  • Young Family Membership: TOTAL: $2,269 ( $1,470 + $500 Debt Service Fee + $299 Security)
    All children are below the kindergarten age
  • Individual Membership: TOTAL: $2,389 ( $1,590 + $500 Debt Service Fee + $299 Security)
  • Single Parent Membership: TOTAL: $2,389 ( $1,590 + $500 Debt Service Fee + $299 Security)
Enduring Membership Options: All Heads of Household must be 65+
  • Individual Membership: TOTAL: $1,6719 ( $920 + $500 Debt Service Fee + $299 Security)
  • Couple Membership: TOTAL: $2,374 ( $1,575 + $500 Debt Service Fee + $299 Security)
  • Family Membership: TOTAL: $2,689 ( $1,890 + $500 Debt Service Fee + $299 Security)
Young "Nitzan" Membership Options: All heads of Households must be under 36 and no children
  • Nitzan Individual Membership: TOTAL: $679 ( $380 + $299 Security)
  • Nitzan Couple Membership: TOTAL: $1,059 ( $760 + $299 Security)
Associate Membership: Your primary synagogue is elsewhere. Need to provide a letter in good standing from said synagogue
  • Associate Membership: TOTAL: $2,099 ( $1,800 + $299 Security)
Click here to visit the Membership page for a full description of all the levels.
 
We never want finances to be a barrier to membership.  If you cannot afford membership fees as structured please fill out our Special Considerations form below and we will try and accommodate your financial situation.  
Special Considerations Fiscal Year: July 1, 2023 - June 30, 2024

Special Consideration Funds will be distributed on a first-come-first-serve basis. Once our Special consideration funds have been exhausted, we will no longer be able to accommodate any requests. 


All information provided and all communication will be strictly confidential to protect both the family and the integrity of the Special Considerations process.  We, who are entrusted with the responsibility of according financial assistance, will do so in a fair, equitable and transparent manner.​​​

Please read the following stipulations prior to filling out the form. By "submitting" the form, you have agreed:

  1. Special Financial Consideration applies to member dues, debt service fund, and Jewish Learning Center (JLC) Tuition.  No reduction can be considered for Early Childhood Center, Sabra/Hebrew for Credit, textbooks and supplies fees, Bar/Bat Mitzvah Tutor fees.

  2. All forms must be filled out COMPLETELY, and signed by all applicant individually in order for your application to be processed.

  3. Invoices and monthly statements showing amounts due and due dates will be mailed or emailed to you.


If currently unemployed, "n/a"
If  currently unemployed, "n/a"
If  currently unemployed, "n/a"
If currently unemployed, "n/a"
If  currently unemployed, "n/a"
Children and/or your parents that are living in your home.
Including their birth date, age and relationship
i.e. Rebecca Stein, 01.01.2000, 21 yrs old, daughter
Including their birth date, age and relationship
i.e. Rebecca Stein, 01.01.2000, 21 yrs old, daughter
You may attach any other documentation that you feel to be relevant.
Below there are 3 different sections:
Section I: Membership & Annual Dues deduction request
Section II: Jewish Learning Center deduction request
Section III: Adding Sections I & II.

Please Note: 
If you are only filling out for Membership & Annual Dues or Jewish Learning Center, Section III, you just need to reenter the total amount requesting to pay for the Special Consideration. If you are requesting for both membership & annual fees and Jewish Learning Center, you will add the 2 sections up for a grand total of what you are requesting to pay.
 
Section I

In this section, you will be requesting how much you would like to be deducted from your membership:
A - Choose the type of Membership and/or Debt Service Fund and/or security fee
B - How much you are requesting to be deducted
C - The total amount you are requesting to pay
Please note that Young Single, Young Couple and Associate members only need to pay for the security fee.
Insert the amount you are asking to be deducted from the total amount of your membership fee.
(A) - (B) = (C)
Example:
(A) Choosing Family Membership Category, Debt Service and Security = $3,819 
(B) Requesting - $500 off of total membership dues

(C) Write in the box above: $3,319
Section II

In this section, you will be requesting how much you would like to be deducted from your Jewish Learning Center Tuition:
A - Adding in the number of students attending JLC & which grades
B - How much you are requesting to be deducted from JLC tuition
C - The total amount you are requesting to pay for JLC Tuition
   Kindergarten + 1st Grade ($1,113 per child)
   2nd - 6th Grade ($1,718 per child)
Insert the amount you are asking to be deducted from the total amount of your JLC tuition.
(A) - (B) = (C)
Example:
(A) 1 Child in 1st Grade + 1 Child in 3rd Grade = $2,831
(B) Requesting - $1000 off of total tuition

(C) Write in the box above: $1,831
Section III

Add Section I (C) & Section II (C) together to get the GRAND TOTAL.
Please add to TOTAL cost you are requesting to pay.. If you are only requesting a deduction for membership or Jewish Learning Center, just enter in the number from part C of that section.

* Subject to approval of your request. Please note that we have a certain amount of funds allocated to Special Considerations, please take that into consideration when you are requesting financial help. The funds will be distributed on a first-come-first-serve basis. Once the funds have been exhausted, we will no longer be able to accommodate any more requests. Thank you.
 
Volunteering Opportunities
By requesting Special Consideration, we request that you give back to the community with volunteering options, plus it is a great way to get involved! Help Beth Am, give back to your community.
Please fill out your address below
Parking Decal 2023-2025
Our current parking decals (pink) will be expiring on June 30, 2023. Cars with the current (pink) decals will no longer be allowed onto the grounds after August 31, 2023. Please review your address above and make sure it is correct as your parking decal will be mailed to your home. 
 
Parking decals need to be affixed to the bottom left (driver side) of the windshield. If you get a new car, or need to replace your windshield, for security, please remove the decal and contact the office to request a new one. Thank you.
If you are needing more than 3 stickers, please contact Joanne Morgenthal at: joanne@betham.com or 858.481.8454
Beth Am Opportunities

We come together as a community to share programs that engage us, stimulate our thinking, and are just plain fun. Connect with other members who have similar interests as we strengthen our Beth Am community.

When joining Congregation Beth Am, your first year as members, you will get the benefit of joining our Men's Club and Women's Circle free of charge (all the benefits of Men's Club and Women's Circle members without paying for the annul dues). These groups are both bring together men and women of all ages and stages in their lives to connect socially, culturally, and spiritually. They offer exciting and diverse programming, which provides a forum to create lasting bonds with other members in our community.  As Beth Am is your Jewish home, they are your Jewish brothers and sisters.
Volunteering Opportunities
Enrich your experience at Beth Am! Whether you have many hours to give or only just a few, volunteering is a great way to get involved, help Beth Am, meet new people or simply hang out with friends you already know! We are always looking for amazing volunteers to help us give back to the community!
Payment Options
When selecting your "CHOICE OF PAYMENT" below, please choose the "CASH/POST DATED CHECKS" option. Once you click "SUBMIT" it will take you to a payment page. Please click "BILL MY ACCOUNT", then "CONFIRM & CONTINUE" This will start your special considerations request. You will be notified shortly to set up your payment plan.
Thank you.
Sun, May 5 2024 27 Nisan 5784