New Member Application

Adult 1 Information

* Adult 1 First Name

* Adult 1 Last Name

Adult 1 Date of Birth

Adult 1 Gender

Pronouns

* Adult 1 Personal Email

Adult 1 Cell Number

Adult 1 Occupation

Adult 1 Employer

Adult 1 Hebrew Name (if known)

Adult 2 First Name

Adult 2 Last Name

Adult 2 Date of Birth

Adult 2 Gender

Pronouns

Adult 2 Personal Email

Adult 2 Cell Number

Adult 2 Occupation

Adult 2 Employer

Adult 2 Hebrew Name

* Mailing Address

Mailing Address Line 2

* City

* State

* Zip

Home Phone

Children (under 19 years of age)

Name (First and Last)

Date of Birth

School

Grade

Name (First and Last)

Date of Birth

School

Grade

Name (First and Last)

Date of Birth

School

Grade

Please send me information TBH's youth education program.

TBH Member Directory

Check the boxes that you want LEFT OUT of the directory visible to other members (not publicly available).

AddressHome PhoneCell PhoneEmail

Yahrzeits

As a service to its members, TBH sends out yearly notifcations of yahzeits (memorials). Please list your personal memorials below. It is the custom of TBH to announce yahrzeits on either the Hebrew or Gregorian anniversary.

Name of Deceased

Relationship

Gregorian/Hebrew Date of Death

Name of Deceased

Relationship

Gregorian/Hebrew Date of Death

Name of Deceased

Relationship

Gregorian/Hebrew Date of Death

Background Information

Please describe your ethnic or religious heritage and connection to Judaism

* Adult #1

Adult #2

The following are optional, but we'd appreciate your answers to these questions. Please use "1" or "2" to indicate who is writing the response.

What aspects of Jewish life interest you the most?

How and why did you become interested in Temple Beth Hatfiloh?

What activities at TBH are you especially interested in? Do you have any skills or professional services that you would like to contribute to TBH programs?

Anything else (including ideas for programs and services for TBH)?

ANNUAL FINANCIAL GIFT

As a member, we ask that you make a pledge of financial support. Your pledge helps ensures that TBH can serve as a center for Jewish life in Olympia. The TBH budget for 2021-22 is $385,700. Of that, 62% or $240,000 comes from annual member pledges. For every dollar spent:

35% is for rabbinic services
13% is for youth education
23% is for administrative support and operations
13% is for facility maintenance

TBH has set a Sustaining annual membership level of $1,075 for one-adult households and $2,150 for two-adult households. This is based on our annual budget, our membership level, and the fact that households vary widely in financial resources. We depend on households that give at or above the sustaining level to meet our budget. We hope that you will give generously from your heart, based on what you are able to give and what you are inspired to give. You are welcome to become a member whatever your financial contribution is.

If you are joining in the middle of the fiscal year, your gift can be pro-rated. Please contact the Temple Office for more details on this or any other questions you might have. Your gift to TBH is tax deductible.

Please choose a suggested level, or write in your pledge in the space provided.

One-Adult Household

College Student:$36Year One - Welcome to TBH: $375Year Two - Settling In: $725Established Households, Sustaining Level: $1,075

Two-Adult Household

Year One - Welcome to TBH: $725Year Two - Settling In: $1450Established Households, Sustaining Level: $2150

Other pledge level

OTHER GIFTS

Rabbi's Discretionary Fund

Goldberg Scholarship (Youth Education)

Building Strength Maintenance Fund

Total Annual Pledge

NOTE: Households pledging over $1,500 for a one-adult household and $3,000 for a two-adult household will be categorized as Patron Households. Please let us know if you are giving at that level and you do not want any public acknowledgment.

Indicate how you would like to pay your pledge from one of the options below:

I will mail/drop-off a personal check for the full pledge amount at this time.I will pay via credit card now. (Further instructions will be available once you submit your application)I will pay by check/bill pay on the schedule noted below.

Please note any additional information you would like the office to know regarding your payment plans.

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