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5785 CBA Membership (2024-2025)

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

how to log in

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 2024-2025

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.
  • Free membership to our Men's Club and Women's Circle
  • 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:
  • 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 Category Section

Enhanced "Nadiv Lev" Membership Options:
Click here for a full description of what is included.
  • Ba'al Halomot Membership: (Visionary) $11,500 *
  • Ba'al Halomot Membership: Family (Visionary) $11,500 *
  • Shamar Membership: (Preserver) $9,000 *
  • Tomekh Membership: (Supporter) $6,500 *
    * Please note, Debt Service Fund and  annual Security Fee are included in the Nadiv Lev membership cost.
Family Membership Options:
  • Standard Membership: TOTAL: $4,170 ($3,171 + $500 Debt Service Fee + $499 Security)
  • Young Family Membership: TOTAL: $2,543 ( $1,5440 + $500 Debt Service Fee + $499 Security)
    All children are below the kindergarten age
  • Individual Membership: TOTAL: $2,669 ( $1,670 + $500 Debt Service Fee + $499 Security)
  • Single Parent Membership: TOTAL: $2,669 ( $1,670 + $500 Debt Service Fee + $499 Security)
Enduring Membership Options: All Heads of Household must be 65+
  • Individual Membership: TOTAL: $1,965 ( $966 + $500 Debt Service Fee + $499 Security)
  • Couple Membership: TOTAL: $2,653 ( $1,654 + $500 Debt Service Fee + $499 Security)
  • Family Membership: TOTAL: $2,984 ( $1,985 + $500 Debt Service Fee + $499 Security)
Young "Nitzan" Membership Options: All heads of Households must be under 36 and no children
  • Nitzan Individual Membership: TOTAL: $898 ( $399 + $499 Security)
  • Nitzan Couple Membership: TOTAL: $1,297 ( $798 + $499 Security)
Associate Membership: Your primary synagogue is elsewhere. Need to provide a letter in good standing from said synagogue
  • Associate Membership: TOTAL: $2,389 ( $1,890 + $499 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, 2024 - June 30, 2025

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 = $4,170 
(B) Requesting - $500 off of total membership dues

(C) Write in the box above: $3,670
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 ($1,269 per child)
   2nd - 6th Grade ($1,873 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 = $3,142
(B) Requesting - $1000 off of total tuition

(C) Write in the box above: $2,142
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
Please review, make changes or fill out the address fields below.
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.
High Holy Days Ticket Order Form
High Holy Day tickets will be mailed to your home (unless ordered after 9.23.24)
High Holy Day tickets are included for you and your immediate family (members of your household) with your membership. You can purchase tickets for other members of your family & friends (please see below).
   Adult Guest (ages 13 yrs +): $330
   Child Guest (2 - 12 yrs): $130
   Full Time Student (current school ID required): FREE
   Active Military Duty (Military ID required): FREEThese are tickets for those who are not in your immediate family. 
Book of Remembrance 5785

A tribute gift is a beautiful and meaningful way to honor someone and we are so grateful to be the recipient of this kind gesture. We are inspired by acts of loving kindness and tzedakah from our congregants. Thank you for believing in the work that we do and allowing us to continue to lead our congregation with passion and love for our community and our shared traditions. Thank you for your support!

Submit your loved ones names for the Book of Remembrance by October 1st. Submissions received between now and September 25th will be included in the booklet which will be handed out at the Yizkor service. Any submissions received between September 25th and October 1st will be included in the online Book of Remembrance only.

Please note: The names of all our Beth Am loved ones will be listed in alphabetical order (not attached to your name) in the back of the Book of Remembrance.

Example:
Adam & Eve Cohen
In Loving Memory of
  • Joe Cohen
  • Jane Smith
If you have any additional names to add, please include names in the next section.
Please write each name per line as to how you want it written. For example:
  • John Smith
  • Jane Smith
or
  • John & Jane Smith
To view the names of all your loved ones, go into your CBA account, hover your cursor over "My Account" and then click on "My Yahrzeits" (see image)
My Yahrzeit list
If there are names that are not listed in your account, you can add them yourself by clicking on the "+Add Yahrzeit" button at the bottom of your list
   x $18 per memorial
   x $36 per memorial
   x $54 per memorial
High Holy Day Appeal

I/We understand the ongoing efforts of Congregation Beth Am to raise funds to ensure we can continue to nurture an inclusive Jewish environment which connects our diverse community with passion and purpose through prayer, learning, love of Israel, friendship and Tikkun Olam (repairing the world).

Thank you so much for your continued support with Congregation Beth Am as we celebrate the new year, we wish you to continue to stay healthy and safe, and looking forward to being together again in the upcoming year. G'MAR CHATIMA TOVAH!


 

Once you click on "SUBMIT" you will be directed to the payment page where you will be able to set up your payment plan. Thank you for your continued support.

 

Fri, October 4 2024 2 Tishrei 5785