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CBA New Member Application

Thank you for your interest in joining Congregation Beth Am, San Diego.  To begin your membership application process, please fill out the form below and we will be in touch with you to finalize the membership.

Breakdown of Membership:
Family: $2,800 (+$500 Debt Service + $125 Annual Security Fee)
Single Parent / Individual: $1,460 (+$500 Debt Service + $125 Annual Security Fee)
Associate: $1,640  (+ proof of membership required + $125 Annual Security Fee)
Young Married: $1,210 (both under 30 yrs, no children + $125 Annual Security Fee)
Young Single: $675 (under 30 yrs, no children + $125 Annual Security Fee)

By checking this box, you are requesting Special Considerations. Once you have submitted your application form, you will be sent a link to fill out a secondary form.  Your Membership form will not be processed until you submit that form as well.

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

Please include Apt. number

Head of Household #1

Head of Household #2

(if different from family last name)

Family Information

Children that are living with you at home (including college students)
Please note, once you submit your application, you will be asked to create a password and then you can go into your account and add your child[ren]'s information: Name, Age, School Grade, etc.... 
We appreciate you adding this so that we will have a proper count of your immediate family. Thank you.
or if outside of USA, please give us the name of the city + country

(check all that apply)

 [Are there particular skills or professional experiences that you can contribute to the synagogue or share with our community?]

Sun, July 5 2020 13 Tammuz 5780