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TBA New Family Information & Membership Application
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Welcome to Temple Beth Ami!
We are a vibrant, inclusive, innovative community that embraces the beauty, meaning, and inspiration found in Reform Judaism. We provide a spiritual foundation to our congregants so they may be encouraged to engage in life-long Jewish learning, the pursuit of spiritual growth, and the promotion of social justice for all.
To begin your Jewish journey with Temple Beth Ami, please complete the membership form below to create your ShulCloud Account.
If you are not sure which membership category is the right one for you an your family, please please contact Executive Director, Debbie Ezrin, at
dezrin@bethami.org
or (301) 340-6818.
Membership Type
*
Select the your desired membership type:
Please Select One
REGULAR Membership: Interested in Gan Ami Early Childhood (with member discount) and/or Machane TBA 3rd - 7th Grade
ASSOCIATE Membership: Check this box if you are members of a second synagogue
SCHOOL COMMUNITY Membership: Interested in enrolling in Gan Ami Early Childhood or Machane TBA Primary school (PreK - 2nd Grade)
Adult Information
*
Adult 1: First Name
*
Adult 1: Last Name
*
Adult 1: Email
*
Adult 1: Mobile
*
Adult 1: DOB
Adult 1: Occupation
Adult 2: First Name
Adult 2: Last Name
Adult 2: Email
Adult 2: Mobile
Adult 2: DOB
Adult 2: Occupation
*
Marital Status:
Please Select One
Single
Married
Divorced
Widowed
Anniversary (if applicable):
Children
Number of Children: (under age 25)
0
1
2
3
4
5
6
7
8
9
10
Please complete the fields below for each child.
*
First Name
Nickname
*
Last Name
*
DOB: (MM/DD/YYYY)
*
Gender
Please Select One
Female
Male
Other/Non-binary
Hebrew Name:
Primary Address
*
Street (including unit/apt):
*
City:
*
Zipcode:
Yahrzeit Observances
Number of Yahrzeits your family observes:
0
1
2
3
4
5
6
7
8
9
10
Please enter the information for each yahrzeit below.
*
English Name of Deceased
Hebrew Name of Deceased
Gender of Deceased
Please Select One
Female
Male
Other/Non-binary
*
Date of Death
After Sunset?
Please Select One
No
Yes
Unknown
Cemetery
*
Mourner Name
*
Relationship (Deceased to Mourner)
Please share a little bit about yourself (including previous synagogue affiliation) in the box below:
Sat, December 21 2024 20 Kislev 5785
