New Member Application

Welcome!

Thank you for your interest in joining Temple Beth David. An inclusive, caring Reform Jewish community, TBD offers members a place to come together to learn, pray, and work for social justice. We look forward to welcoming you into our TBD family! If you have any questions while completing the form below, please do not hesitate to contact us at (203) 272-0037 or office@tbdcheshire.org (for general questions) or membership@tbdcheshire.org (for membership questions).

* Select your appropriate membership level

Please Select OneTwo Adult FamilyOne Adult FamilyOne Adult MembershipFriends & Family Out-of-State Membership (for members who live full-time outside of CT)Dual Synagogue Membership (for members active in more than one synagogue)Active Duty Membership (Must provide valid military ID)

* Please enter the name, address and telephone number of other synagogue of which you are a member.

Regardless of your membership level indicated above, please make a selection below to demonstrate the strongest financial commitment you can make to Temple Beth David. If you are able to participate at the Honor Circle level, please know your generosity will help ensure no family is turned away from TBD's Jewish community. We are especially grateful to our Honor Circle members for allowing TBD to continue providing and sustaining Jewish life in our community.

BUILDING MAINTENANCE FEE

* I understand all households are assessed a $150 annual building maintenance fee.

I understand all households are assessed a $150 annual building maintenance fee.

* How many Adults are part of this Membership Application?

Please Select OneOne AdultTwo Adults

PERSONAL INFORMATION

Adult 1 Information

* First Name

Middle Name

* Last Name

* Address

* City

* State

* Zip Code

* Phone Number

* Email

Birth date

Occupation

Adult 1 TBD Involvement

Please indicate any skills, talents, or experience which you may wish to share with the temple (e.g. accounting, computers, writing, public relations, Hebrew or Judaic knowledge, Torah chanting, music):

Adult 2 Information

* First Name

Middle Name

* Last Name

* Phone Number

* Email

Date of Birth

Occupation

If you wish to have the anniversary of a loved one’s death acknowledged by the temple, please complete the following information. An annual reminder notice will be mailed to you, and the yahrzeit will be read at the Shabbat service preceding the date of the anniversary.

Name of Deceased

Relationship to Congregant

Example: Husband of Jane Doe

Date of Death

Name of Deceased

Relationship to Congregant

Example: Husband of Jane Doe

Date of Death

Name of Deceased

Relationship to Congregant

Example: Husband of Jane Doe

Date of Death

TOTAL:

Includes Membership and Building Maintenance Fee.

MEMBERSHIP SUMMARY

* I hereby apply for membership at Temple Beth David and, should my application be accepted by the TBD Board, I agree to fulfill my financial obligations as indicated above.

I hereby apply for membership at Temple Beth David and, should my application be accepted by the TBD Board, I agree to fulfill my financial obligations as indicated above.

* First and Last Name

* Date

Please click the 'Submit' button below.

Adult 1 Information

Adult 1 TBD Involvement

Adult 2 Information

Adult 2 TBD Involvement

Child 1

Child 2

Child 3

Child 4

Yarhzeit Information

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