New Member Application 2025-2026 - Form

NEW MEMBER APPLICATION FORM

It's our pleasure to offer a one-year free membership, valid through May 31, to new members. Only the security fee is required. The prices below reflect the current membership costs.
*When you are full-paying member, you may split your payments into 10 or 12, depending on when you start paying.

2025-2026 Dues by Category

Regular Membership
Family $2,254 and Security Fee (listed below)
Couple (ages 30-69) $1650 and Security Fee: $200
Senior Family $1,518 and Security Fee: $200 (with no children enrolled in schools*)
Senior Couple $1318 and Security Fee: $150
Senior Individual $775 and Security Fee: $125
Age 29 and Under Family $418 and Security Fee: $75 (with no children enrolled in schools*)
Age 29 and Under Couple $318 and Security Fee: $75
Age 29 and Under Single $218 and Security Fee: $50
Associate/Out-of-County Family (member of another Synagogue) $1150 and Security Fee: $200
Associate/Out-of-County Couple (member of another Synagogue) $850 and Security Fee: $150
Associate/Out-of-County Individual (member of another Synagogue) $550 and Security Fee: $125

Security Fee:
*If children are enrolled in a program, the security fee listed below applies instead of the one above.
Family with children in Religious School $250
Family with children in Gesher $230
Family with children in Early Childhood $400

Building Fund: $2500.00
All categories except Senior and Under 30 categories $500 (per year for 5 years)
29 and Under categories pay $100 per year until reaching the age of 30 and then $500

MEMBER A INFORMATION

* Member A - Title

* Member A - First Name

* Member A - Last Name

* Member A - Nickname

* Member A - Birthdate

* Member A - Email Address

* Member A - Mobile Phone

* Member A - Home Phone

If applicable

* Member A - Address

* Member A - City

* Member A - State

* Member A - ZIP

Member A - Occupation

Member A - Employer

Member A - Work Phone

Member A - Work Email

MEMBER A - ENGAGEMENT & INVOLVEMENT

Please check all the boxes for the committees or groups you'd like to be involved with. Some groups and committees meet regularly, while others occasionally, often to plan a particular event.

Lunch and LearnGreeter/Usher at Shabbat ServicesGreeter/Usher at High Holy Day ServicesFront Office/Administrative HelpAIPAC - American Israel Public Affairs CommitteeIAC - Israel American CouncilFamily Education ProgrammingPolitical Engagement & Advocacy

Member A - We welcome any comments regarding special interests, talents or needs you may have:

MEMBER B INFORMATION

* Member B - Title

* Member B - First Name

* Member B - Last Name

* Member B - Nickname

* Member B - Birthdate

* Member B - Email Address

Member B - Mobile Phone

Member B - Home Phone

If applicable/different from Member A

Member B - Occupation

Member B - Employer

Member B - Work Phone

Member B - Work Email

Does Member B live at the same address as Member A?

Member B - Address

Member B - City

Member B - State

Member B - ZIP

MEMBER B - ENGAGEMENT & INVOLVEMENT

Please check all the boxes for the committees or groups you'd like to be involved with. Some groups and committees meet regularly, while others occasionally, often to plan a particular event.

Member B - We welcome any comments regarding special interests, talents or needs you may have:

PREVIOUS TEMPLE AFFILIATION

Temple Name, City and State

Dates of Membership

Reform

Conservative

Orthodox

Reconstructionist

CHILDREN 21 & UNDER

Please click the blue + button to add each child

* Full Name

Gender

* Birthdate

Mobile Phone

If applicable

Email Address

If applicable

Name of School/College

Grade

Religious School Grade

OTHER PERSONS IN THE HOUSEHOLD

Please click the blue + button to add each additional person

Full Name

Relationship

HOW DID YOU FIND US?

Referred by:

Are you or your spouse related to any other TKAE members? If yes, please provide name of members.

* Reason for joining:

DO YOU HAVE LOVED ONES YOU WOULD LIKE TO PLACE ON OUR KADDISH LIST?

Please click the blue + button to add each name

* Name of Deceased

Related to:

Member AMember B

Relationship

Date of Death

Hebrew or English Observance

English DateHebrew Date

FINANCIAL RESPONSIBILITIES

* I/We agree and understand that the fiscal year for membership begins June 1 and that Temple Kol Ami Emanu-El relies on our dues and additional fees for support.

I/We agree and understand that the fiscal year for membership begins June 1 and that Temple Kol Ami Emanu-El relies on our dues and additional fees for support.

* I/We agree to pay all charges to our account when due.

I/We agree to pay all charges to our account when due.

* I/We understand that 50% of our account must be paid to receive our High Holiday Tickets

I/We understand that 50% of our account must be paid to receive our High Holiday Tickets

I/We understand that all financial obligations are payable according to synagogue policy. In the event of resignation, I/We will be responsible for all obligations accrued prior to resignation.

MEMBERSHIP DUES 2023/2024

I/We are aware that I/We are responsible for membership dues, security fee and building fund (if applicable). If I/We choose not to remind Temple members, I/We are not eligible to purchase high holy day tickets this fiscal year (2024/2025)

ENHANCED DUES

Helping Our Fellow Members

Every year we ask those who are able to help those who are less able. That’s a core meaning of Tzedakah. That’s a central Mitzvah of Judaism. This year it is especially important that those who are capable contribute a bit more than usual. By “enhancing your dues,” you are voluntarily making a contribution which will enable the Temple to welcome into membership (and most importantly, to scholarship their children) any Jewish member of our community who wants to affiliate and be part of our larger family. In today’s economic climate, many Jewish families need our help...they need your help. We can’t do it unless those of our members who have the resources step forward and participate, by enhancing your dues. Please, if you are able, fill in the form to the right. It’s a simple “check-mark” and this Tzedakah can certainly be paid out through the entire year. Your generous gift of Tzedakah will be recognized in the Temple bulletin and on a special plaque in our front lobby. Most importantly, however, it will be fulfilling an important and gratifying Mitzvah.

B’Shalom
Rabbi Uriel Romano

Yes, Rabbi Uri - I am able and willing to do my part to the very best of my ability. Please count on me at the following level, for this fiscal year.

Temple Kol Ami Emanu-El gladly accepts payment through check, or credit card (Visa or Master Card) with the additional option of setting up recurring billing.