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Membership Application

of person filling out the form 

ADULT - 1
ADULT - 2
If other selected, please enter current Religious Tradition bellow 
If other selected, please enter current Religious Tradition bellow 


Children's Information (under the age of 26)

EMERGENCY CONTACT

* MEMBERSHIP CONTRIBUTION

We ask that you consider the importance of your role in ensuring a strong and vibrant Beth Hillel Temple congregation. To fully fund the operating budget (salaries, utilities, supplies, insurance, etc.) equally across our membership each household’s share or sustaining amount is $2600. We recognize that some in our membership are able to give more and others less than this amount.  Please consider making at least a 3% increase over your commitment of last year. The amount of your commitment is up to you. The willingness of our members to make these pledges and then to fulfill them has made the Member Community Commitment process a success.

SPECIAL NOTEIn an effort to make BHT even more inclusive, tuition for the BHT Religious School is now considered part of the MCC pledge. While tuition is included, we know the cost is approximately $500/student for our 28 students.   We hope every member will consider supporting the Religious School with a little extra in your MCC pledge this year.

* Choose one from the following 3 options and enter your ($) amount:
Enter Amount ↑

Enter Amount ↑

*Amount paid or pledged for Member Community Commitment (2018-19) plus 3% 

Enter Amount ↑
 

If checked, $50.00 charge will be automatically added to your account.

* PHOTO RELEASE FORM

With this form, your permission is requested for photos of you and your family members to be published in Beth Hillel Temple’s newsletters, web site and other publicity materials so that we may celebrate and publicize our congregation and its activities.

Temple policy dictates that when children are the primary subject of the photo, even if prior parental permission has been obtained on registration forms, an extra step of notifying parents to let them know that we are considering using their child’s photo will be undertaken.

When adults are featured and easily identified (i.e., they are the main or only subject of the picture), we will have their permission prior to publication of their photo and name in the caption of materials publicly accessible. Names will not be associated with any pictures posted on Facebook and pictures will not be tagged.

Group shots, silhouettes, long-distance views, and other photos in which individual children are not identifiable do not require permission for publishing on the web.

Personal addresses, e-mails and phone numbers of members will not be posted on the public portion of the website.

Please check one of the following choices:
I agree that Beth Hillel Temple may use such photographs of me with my name, if I am easily identified and I am over 22 years of age, on the website, and without my name if I am younger than 22, for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

* SIGNATURES

Please complete this application by typing in your full name below, which will act as your signature.
Sun, July 21 2019 18 Tammuz 5779