5785 CBA Membership (2024-2025)

Please note: For current Beth Am members, and those who have a login. Please make sure you are logged into your membership portal before filling out this form. If you have forgotten your login or have never logged into the website, please click here and follow the instructions. If still having troubles, please contact Susan Mualim at 858.481.8455 or susan@betham.com

* Full Name of individual filling out this form

* Email

* Please select your membership option below to get you started:

* Reason for leaving Beth Am:

* Was there something that you were looking for that we could not provide?

* Do you plan on becoming a member elsewhere?

Thank you again. We appreciate the time you spent with us. Remember, Congregation Beth Am will always be a home to you. If you have any questions or concerns, please feel free to contact either our Executive Director, Gilad Hoffman.

* Marital Status

Please note: There is no difference between Member 1 (A1) and Member 2 (A2), but we do have information attached to those names that you are not reviewing and changing the order will then affect the other information.

Beth Am New Membership Form 2024-2025

Welcome from your new Beth Am family. Our Beth Am family is inclusive, alive and growing, and we hope it will include you. From newly married couples, young families and singles, to pre/post B’nei Mitzvah families, empty nesters and seniors, there’s no doubt you’ll find your place at Beth Am. We are excited for you to be part of our vibrant Jewish community and hope you’ll call Beth Am home for worship, learning, holidays, family and Jewish celebration.

Please fill out the form below and we will be in touch with you to see how we can make Beth Am your new home for worship and community.

All membership plans include High Holy Day tickets for you and your immediate family members currently living in your home.

Membership Benefits Include:

All of our members enjoy the following benefits and opportunities:

Pastoral care & life cycle moments.
Traditional & innovative prayer experiences.
Complimentary tickets to High Holy Day services for you and your immediate family members currently living in your home.
Free or discounted admission to classes & events.
Free membership to our Men's Club and Women's Circle
Options for discounted tuition to ECC, JLC, & Sabra.
Gatherings to connect you to the community & build friendships.

New members will also get for the 1st year:

New member event to introduce you to other families in our community.

And more...

For a detailed membership description, please click here.

* First Name

* Last Name

* Title

Dr | Hon | Mr | Mrs | Ms | Miss | Mix

* Email

* Mobile

* Birth Date

Hebrew Names:
Please fill out the fields below. If you do not have a Hebrew name, just write in n/a. If you do not know your mother or father's Hebrew names or they do not have one, just write in their English names.

* Hebrew Name

* Father's Hebrew Name

* Mother's Hebrew Name

Did you have a Bar/Bat Mitzvah?

B'nei Mitzvah Parasha

B'nei Mitzvah Date

Occupation:
Please fill out the fields below. If you are retired, please fill in "retired" in the field. If you are currently unemployed, please fill in "n/a"

* Job Title

* Business Name

* Is there a secondary Head of Household member?

* Marital Status

Wedding Anniversary

* First Name

* Last Name

* Title
Dr | Hon | Mr | Mrs | Ms | Miss | Mix

* Email

* Mobile

* Birth Date

Hebrew Names:
Please fill out the fields below. If they do not have a Hebrew name, just write in n/a. If they do not know their mother or father's Hebrew names or they do not have one, just write in their English names.

Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

Did you have a Bar/Bat Mitzvah?

B'nei Mitzvah Parasha

B'nei Mitzvah Date

Occupation:
Please fill out the fields below. If they are retired, please fill in "retired" in the field. If they are currently unemployed, please fill in "n/a"

* Job Title

* Business Name

* Do you have any children?

First Name #1

Last Name #1

Date of Birth #1

Gender #1

Grade #1
If appropriate

First Name #2

Last Name #2

Date of Birth #2

Gender #2

Grade #2
If appropriate

First Name #3

Last Name #3

Date of Birth #3

Gender #3

Grade #3
If appropriate

First Name #4

Last Name #4

Date of Birth #4

Gender #4

Grade #4
If appropriate

* Do you have any relatives that are members at Beth Am?

If you have any Beth Am members related to you, please list the below and the relations:
Example: Joshua & Rachel Steinberg, aunt of Rebecca

* Do you have any Yahrzeits?

Please list all the Yahrzeits below: (include the full name, Hebrew name, date of passing, relationship)
Example:
Adam Cohen: Hebrew Name: Adam ben Avraham v'Sarah. Date: January 1, 1990 (before sundown) Grandfather of Rachel

Enhanced "Nadiv Lev" Membership Options:
Click here for a full description of what is included.

Ba'al Halomot Membership: (Visionary) $11,500 *

Ba'al Halomot Membership: Family (Visionary) $11,500 *

Shamar Membership: (Preserver) $9,000 *

Tomekh Membership: (Supporter) $6,500 *
* Please note, Debt Service Fund and annual Security Fee are included in the Nadiv Lev membership cost.

Family Membership Options:

Standard Membership: TOTAL: $4,170 ($3,171 + $500 Debt Service Fee + $499 Security)

Young Family Membership: TOTAL: $2,543 ( $1,5440 + $500 Debt Service Fee + $499 Security)
All children are below the kindergarten age

Individual Membership: TOTAL: $2,669 ( $1,670 + $500 Debt Service Fee + $499 Security)

Single Parent Membership: TOTAL: $2,669 ( $1,670 + $500 Debt Service Fee + $499 Security)

Enduring Membership Options: All Heads of Household must be 65+

Individual Membership: TOTAL: $1,965 ( $966 + $500 Debt Service Fee + $499 Security)

Couple Membership: TOTAL: $2,653 ( $1,654 + $500 Debt Service Fee + $499 Security)

Family Membership: TOTAL: $2,984 ( $1,985 + $500 Debt Service Fee + $499 Security)

Young "Nitzan" Membership Options: All heads of Households must be under 36 and no children

Nitzan Individual Membership: TOTAL: $898 ( $399 + $499 Security)

Nitzan Couple Membership: TOTAL: $1,297 ( $798 + $499 Security)

Associate Membership: Your primary synagogue is elsewhere. Need to provide a letter in good standing from said synagogue

Associate Membership: TOTAL: $2,389 ( $1,890 + $499 Security)

Click here to visit the Membership page for a full description of all the levels.

* Will you be applying for Special Considerations?
We never want finances to be a barrier to membership. If you cannot afford membership fees as structured please fill out our Special Considerations form below and we will try and accommodate your financial situation.

Special Considerations Fiscal Year: July 1, 2024 - June 30, 2025

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

All information provided and all communication will be strictly confidential to protect both the family and the integrity of the Special Considerations process. We, who are entrusted with the responsibility of according financial assistance, will do so in a fair, equitable and transparent manner.

Please read the following stipulations prior to filling out the form. By "submitting" the form, you have agreed:

Special Financial Consideration applies to member dues, debt service fund, and Jewish Learning Center (JLC) Tuition. No reduction can be considered for Early Childhood Center, Sabra/Hebrew for Credit, textbooks and supplies fees, Bar/Bat Mitzvah Tutor fees.

All forms must be filled out COMPLETELY, and signed by all applicant individually in order for your application to be processed.

Invoices and monthly statements showing amounts due and due dates will be mailed or emailed to you.

* I have read the above stipulations and do hereby agree.
I have read the above stipulations and do hereby agree.

Today's Date

* Primary Member's Occupation
If currently unemployed, "n/a"

* Employer's Name
If currently unemployed, "n/a"

* How many years at this company?
If currently unemployed, "n/a"

2nd Primary Member's Occupation
If currently unemployed, "n/a"

Employer's Name
If currently unemployed, "n/a"

Number of Dependents
Children and/or your parents that are living in your home.

Please list all of your children and/or your parents that are living in your home.
Including their birth date, age and relationship
i.e. Rebecca Stein, 01.01.2000, 21 yrs old, daughter

* Please state your reasons for requesting Special Considerations.
Including their birth date, age and relationship
i.e. Rebecca Stein, 01.01.2000, 21 yrs old, daughter

Upload a File

You may attach any other documentation that you feel to be relevant.

* What special financial consideration will you be requesting?
Below there are 3 different sections:
Section I: Membership & Annual Dues deduction request
Section II: Jewish Learning Center deduction request
Section III: Adding Sections I & II.

Please Note: If you are only filling out for Membership & Annual Dues or Jewish Learning Center, Section III, you just need to reenter the total amount requesting to pay for the Special Consideration. If you are requesting for both membership & annual fees and Jewish Learning Center, you will add the 2 sections up for a grand total of what you are requesting to pay.

Section I

In this section, you will be requesting how much you would like to be deducted from your membership:
A - Choose the type of Membership and/or Debt Service Fund and/or security fee
B - How much you are requesting to be deducted
C - The total amount you are requesting to pay

* Consideration requested for membership dues (B)
Insert the amount you are asking to be deducted from the total amount of your membership fee.

* Total amount requesting to pay for membership (C)
(A) - (B) = (C)
Example:
(A) Choosing Family Membership Category, Debt Service and Security = $4,170
(B) Requesting - $500 off of total membership dues
(C) Write in the box above: $3,670

Section II

In this section, you will be requesting how much you would like to be deducted from your Jewish Learning Center Tuition:
A - Adding in the number of students attending JLC & which grades
B - How much you are requesting to be deducted from JLC tuition
C - The total amount you are requesting to pay for JLC Tuition

* Number of Children attending JLC (A) Please indicate how many students will be attending JLC.
Kindergarten + 1st Grade ($1,269 per child)
2nd - 6th Grade ($1,873 per child)

* Consideration requested for JLC tuition (B)
Insert the amount you are asking to be deducted from the total amount of your JLC tuition.

* Total amount requesting to pay for JLC tuition (C)
(A) - (B) = (C)
Example:
(A) 1 Child in 1st Grade + 1 Child in 3rd Grade = $3,142
(B) Requesting - $1000 off of total tuition
(C) Write in the box above: $2,142

Section III
Add Section I (C) & Section II (C) together to get the GRAND TOTAL.
Please add to TOTAL cost you are requesting to pay. If you are only requesting a deduction for membership or Jewish Learning Center, just enter in the number from part C of that section.

* Total amount due after considerations
* Subject to approval of your request. Please note that we have a certain amount of funds allocated to Special Considerations, please take that into consideration when you are requesting financial help. The funds will be distributed on a first-come-first-serve basis. Once the funds have been exhausted, we will no longer be able to accommodate any more requests. Thank you.

By requesting Special Consideration, we request that you give back to the community with volunteering options, plus it is a great way to get involved! Help Beth Am, give back to your community.

* Please check all that applies:
Front Desk (answering phones, basic office duties)Welcome new members with a phone callDeliver "welcome baskets" to new membersDaily Minyan (your name will be added to call list if we need extra bodies to help make a minyan)Meal Train for CBA families in needSupporting special events or programs during the yearI have other volunteering ideas, please reach out to me

Please review, make changes or fill out the address fields below.

* Street Address

Apt./Suite

* City

* State

* Zip Code

* I confirm that the address above is correct.
I confirm that the address above is correct.

Enrich your experience at Beth Am! Whether you have many hours to give or only just a few, volunteering is a great way to get involved, help Beth Am, meet new people or simply hang out with friends you already know! We are always looking for amazing volunteers to help us give back to the community!

Please check all that applies:
Front Desk (answering phones, basic office duties)Welcome new members with a phone callDeliver "welcome baskets" to new membersDaily Minyan (your name will be added to call list if we need extra bodies to help make a minyan)Meal Train for CBA families in needSupporting special events or programs during the yearI have other volunteering ideas, please reach out to me

When selecting your "CHOICE OF PAYMENT" below, please choose the "CASH/POST DATED CHECKS" option. Once you click "SUBMIT" it will take you to a payment page. Please click "BILL MY ACCOUNT", then "CONFIRM & CONTINUE" This will start your special considerations request. You will be notified shortly to set up your payment plan.
Thank you.

* Membership Type

* Debt Service Fund
$500 Mandatory

* Enhanced Security
$499 Mandatory

* Choice of payment

* Name of the Donor Advisor Fund:

Total Amount for Membership

Once you click on "SUBMIT" you will be directed to the payment page where you will be able to set up your payment plan. Thank you for your continued support.

5785 CBA Membership (2024-2025)

Congregation Beth Am | 5050 Del Mar Heights Road | San Diego, CA 92130 858.481.8454 | welcome@betham.com

Congregation Beth Am | 5050 Del Mar Heights Road | San Diego, CA 92130
858.481.8454 | welcome@betham.com