BJC Membership Application - Form - Beth Jacob Congregation

To start the membership process, please complete out this online form. You will then be sent a link to finalize your membership by setting up an Annual Sustaining Contribution (ASC). We pride ourselves on ensuring that everyone who wants to join is welcome; no matter what their financial situation, which is why we do not have a set "DUES" amount. However we do expect that every household will make some form of regular financial commitment to sustain our shul. We ask that each household consider giving around 2% of their average household income. You will receive more information about this once you complete this form. Again, we want to reiterated that everyone is welcomed into our community, regardless of financial capacity.

We look forward to getting you connected into our community.

* Family Last Name(s)

This is how mail will be addressed to your household.
You can use formats such as: Greene Family, Greene-Miller Family,The Greenes & Millers, etc..

* Address 1

Address Line 2

* City

* State

* Zip

* Primary Phone

Please enter the preferred contact phone number for your family

ADULT 1 INFORMATION

How should we address you?

(Nickname, Title, Mr. & Mrs. etc)

* First Name

Middle Name

* Last Name

* Gender

* Date of Birth

Hebrew First Name (if applicable) - Please use transliterated English

Father's Hebrew First Name (if applicable) - Please use transliterated English

Mother's Hebrew First Name (if applicable) - Please use transliterated English

Bar/Bat Mitzvah Date (if applicable)

* Cell Phone

* Email

* Would you like to be on our list for weekly and special event emails?

Occupation

Business Name or Employer

Business Phone

Growing up, how did your family identify religiously?

ADDITIONAL FAMILY MEMBERS:

* Is there another adult in your household?

* How are the two adults related?

If married, what was the date of your wedding?

ADULT 2 INFORMATION

How should we address you?

(Nickname, Title, Mr. & Mrs. etc)

* First Name

Middle Name

* Last Name

* Gender

* Date of Birth

Hebrew First Name (if applicable) - Please use transliterated English

Father's Hebrew First Name (if applicable) - Please use transliterated English

Mother's Hebrew First Name (if applicable) - Please use transliterated English

Bar/Bat Mitzvah Date (if applicable)

* Cell Phone

* Email

* Would you like to be on our list for weekly and special event emails?

Occupation

Business Name or Employer

Business Phone

Growing up, how did your family identify religiously?

CHILDREN

**NOTE** You can enter up to 4 children. If you have more than 4 children, please contact the synagogue office at 651-452-2226 and we will be more than happy to get them into our records for you.

* Do you have children?

* Child 1 First Name

Child 1 Middle name

* Child 1 Last Name

Child 1 Nickname (if applicable)

* Child 1 Gender

* Child 1 Date of Birth

Child 1 Hebrew First Name (if applicable) - Please use transliterated English

Child 1 Grade and School, if applicable

Child 1 Bar/Bat Mitzvah Date (if applicable)

* Do you have more children?

* Child 2 First name

Child 2 Middle Name

* Child 2 Last Name

Child 2 Nickname (if applicable)

* Child 2 Gender

* Child 2 Date of Birth

Child 2 Hebrew First Name (if applicable) - Please use transliterated English

Child 2 Grade and School (if applicable)

Child 2 Bar/Bat Mitzvah Date (if applicable)

Do you have more children?

* Child 3 First name

Child 3 Middle Name

* Child 3 Last name

Child 3 Nickname (if applicable)

* Child 3 Gender

* Child 3 Date of Birth

Child 3 Hebrew First Name (if applicable) - Please use transliterated English

Child 3 Grade and School (if applicable)

Child 3 Bar/Bat Mitzvah Date (if applicable)

* Do you have more children?

* Child 4 First Name

Child 4 Middle Name

* Child 4 Last Name

Child 4 Nickname (if applicable)

* Child 4 Gender

* Child 4 Date of Birth

Child 4 Hebrew First Name (if applicable) - Please use transliterated English

Child 4 Grade and School (if applicable)

Child 4 Bar/Bat Mitzvah Date (if applicable)

AREAS OF INTEREST

In what other ways might you want to be involved?

YAHRZEIT INFORMATION

As part of Jewish tradition, we honor loved ones who have passed on the Hebrew anniversary of their death. We would like to include your loved ones in the list of people we remember each year, and we will send a yahrzeit reminder to you each year in advance of the anniversary.

If you know the secular or Hebrew date of death of your loved one(s), please enter it below. If you do not have this information, we can always enter it at a later time.

**NOTE** You can enter up to 6 Yahrzeits. If you have more than 6 Yahrzeits you would like to observe, please contact the synagogue office at 651-452-2226 and we will be more than happy to get them into our records for you.

* Do you have yahrzeits you would like to observe?

* Name of Deceased

Full Hebrew Name (if known) - Please use transliterated English

* English Date of Death

* Did the death occur before or after sundown?

* Who is observing the yahrzeit?

* Deceased's relationship to the mourner

* Do you have another yahrzeit you would like to observe?

* Name of Deceased

Full Hebrew Name (if known) - Please use transliterated English

* English Date of Death

* Did the death occur before or after sundown?

* Who is observing the yahrzeit?

* Deceased's relationship to the mourner

* Do you have another yahrzeit you would like to observe?

* Name of Deceased

Full Hebrew Name (if known) - Please use transliterated English

* English Date of Death

* Did the death occur before or after sundown?

* Who is observing the yahrzeit?

* Deceased's relationship to the mourner

Do you have another yahrzeit you would like to observe?

* Name of Deceased

Full Hebrew Name (if known) - Please use transliterated English

* English Date of Death

* Did the death occur before or after sundown?

* Who is observing the yahrzeit?

* Deceased's relationship to the mourner

Do you have another yahrzeit you would like to observe?

* Name of Deceased

Full Hebrew Name (if known) - Please use transliterated English

* English Date of Death

* Did the death occur before or after sundown?

* Who is observing the yahrzeit?

* Deceased's relationship to the mourner

Do you have another yahrzeit you would like to observe?

* Name of Deceased

Full Hebrew Name (if known) - Please use transliterated English

* English Date of Death

* Did the death occur before or after sundown?

* Who is observing the yahrzeit?

* Deceased's relationship to the mourner

Welcome to Beth Jacob! We will be in touch with you as soon as possible.