Renewing Memberships

* Your first name

* Your last name

* Birthdate

* By which pronouns would you like to be referred (for example, he, she, they, or ze)?

* By which title would you like to be referred (for example, Mr., Mrs., Ms., Miss, or Dr.)?

* Your address

Your address (2nd line)

* City

* State

* Zip code

Home phone (with area code, please)

Work phone (with area code, please)

Cell phone (with area code, please

Email address

* Best ways to reach you

Occupation

* Is there another adult head of household in your family? (partner, spouse, co-parent)

Please Select OneYesNo

First name

Last name

Birthday

Relationship to you

By which pronouns would this person like to be referred (for example, he, she, they, or ze)?

* By which title would this person like to be referred (for example, Mr., Mrs., Miss, Ms., or Dr.)

Cell phone (with area code, please

Work phone (with area code, please)

Email address

Best ways to reach this person

Occupation

Are there other addresses you would like us to list for you or your family? (e.g. a summer address, an address if the adult heads of household are living separately part of the time)

* Do you have children (including adult children)

Please Select OneYesNo

CHILDREN

Please tell us about all of your children, even those who are now adults.

First child's first name

First child's middle name

First child's last name

First Child's Birthdate

By which pronouns would this like to be referred (for example, he, she, they, or ze)?

Is your first child still in school?

Please Select OneYesNo

First child's weekday school

First child's grade level in weekday school

Do you have another child (including adult children)?

Please Select OneYesNo

Second child's first name

Second child's middle name

Second child's last name

Second child's birthdate

By which pronouns would this like to be referred (for example, he, she, they, or ze)?

Is your second child in still in school?

Please Select OneYesNo

Second child's weekday school

Second child's grade level in weekday school

Do you have another child (including adult children)?

Please Select OneYesNo

Third child's first name

Third child's middle name

Third child's last name

Third child's birthdate

By which pronouns would this like to be referred (for example, he, she, they, or ze)?

Is your third child still in school?

Please Select OneYesNo

Third child's weekday school

Third child's grade level in weekday school

Do you have another child (including adult children)?

Please Select OneYesNo

Fourth child's first name

Fourth child's middle name

Fourth child's last name

Fourth child's birthdate

By which pronouns would this like to be referred (for example, he, she, they, or ze)?

Is your fourth child still in school?

Please Select OneYesNo

Fourth child's weekday school

Fourth child's grade level in weekday school

Do you have another child (including adult children)?

Please Select OneYesNo

Fifth child's first name

Fifth child's middle name

Fifth child's last name

Fifth child's birthdate

By which pronouns would this like to be referred (for example, he, she, they, or ze)?

Is your fifth child still in school?

Please Select OneYesNo

Fifth child's weekday school

Fifth child's grade level in weekday school

Do you have another child (including adult children)?

Please Select OneYesNo

Sixth child's first name

Sixth child's middle name

Sixth child's last name

Sixth child's birthdate

By which pronouns would this like to be referred (for example, he, she, they, or ze)?

Is your sixth child still in school?

Please Select OneYesNo

Sixth child's weekday school

Sixth child's grade level in weekday school

Last Year's Support from your Family

We are so grateful for the membership support you pledged last year. We want you to see what it was so that you can figure this year's support based on it.

MEMBERSHIP SUPPORT

How Much to Contribute?

We rely on every member to contribute as much as you are able. For those who are able to contribute an amount greater than the standard contribution level, your additional support allows Judea Reform to be fully inclusive of all Jews, regardless of financial circumstances.

We also recognize that membership support should never be a burden on any member’s budget or a source of stress, and we encourage members who cannot afford the standard contribution level to write in an amount that represents the financial commitment that you are able to make. Alternatively, you may contact our Executive Director, Emily Young, at eyoung@judeareform.org, or our Business Manager, Liz Gibbons at egibbons@judeareform.org, to talk about a membership commitment that works for you.

Payment Schedule

You may pay according to a schedule that is convenient for you. All membership pledges must be paid in full by the end of our fiscal year: June 30, 2021.

MEMBERSHIP COMMITMENT

Judea Reform Congregation asks you to give from your heart. It is only with your generosity and help that the congregation can maintain and improve our excellent educational programs, beautiful facilities, and inspiring spiritual leadership. Thank you for supporting your congregation!

MEMBERSHIP SUPPORT

In pledging membership support at the recommended level, you ensure that Judea Reform’s foundational needs are met. You are a partner in preserving the great traditions of Judaism, responding to the current concerns of our community, and planning for a future of sacred engagement for generations to come. The standard membership support levels for 2020-2021 are as follows:

Individual (One-Adult) Household	Two-Adult Household
Under Age 31, first year: $45	Both Under Age 31, first year: $45
Under Age 31, after first year: $235	Older Adult is Under Age 31, after first year: $425
Age 31: $615	Older Adult is Age 31: $1,170
Age 32: $870	Older Adult is Age 32: $1,495
Age 33: $1,050	Older Adult is Age 33: $1,755
Age 34: $1,245	Older Adult is Age 34: $2,015
Age 35: $1,445	Older Adult is Age 35: $2,275
Age 36 to 77: $1,595	Older Adult is Age 36 to 77: $2,615
Age 78 or older: $1,550	Older Adult is Age 78 or older: $2,570

ALTERNATIVE SUPPORT

We recognize that membership support should never be a burden on any member's budget nor a source of stress, and we encourage members who cannot afford the standard contribution level to enter an amount that represents the financial commitment that you are able to make. Alternatively, you may contact our Executive Director, Emily Young, at eyoung@judeareform.org or our Business Manager, Liz Gibbons, at egibbons@judeareform.org to talk about a membership commitment that works for you.

CIRCLES OF HONOR

The Circles of Honor provide much-needed annual support for the congregation and allow Judea Reform to open its doors to all Jews seeking a spiritual, intellectual, and social justice home, so we never have to turn anyone away.

Please consider joining one of our Circles of Honor in the 2020-2021 fiscal year if you're able to support us at this level.

Circle of Judea: $3,000—$3,599
Circle of Tzedakah Righteousness: $3,600—$4,999
Circle of Mitzvah Commandment: $5,000—$7,199
Circle of Shalom Peace: $7,200—$9,999
Circle of Chesed Kindness: $10,000+

Please select from one of the options below:

Please Select OneJudea Reform is very important to me and to our community. I will contribute at or above the standard membership support level.Judea Reform is very meaningful to me. At this time, standard membership support will not fit into my budget, but I am pleased to pledge an alternative amount, which I will enter on this form.I am able to contribute at one of the Circle of Honor levels so that Judea Reform can remain open and accessible to our economically diverse community.

MEMBERSHIP SUPPORT

If you would like to contribute more for your membership support -– but not as much as one of our Circles of Honor — please indicate the amount below.

Fair Share increase to your pledge:

Your membership commitment, so far

ALTERNATIVE SUPPORT

If you need to contribute an alternative membership support amount, please indicate your pledge below. Alternatively, you may contact our Executive Director, Emily Young, at eyoung@judeareform.org or our Business Manager, Liz Gibbons, at egibbons@judeareform.org to talk about a membership commitment that works for you.

Alternative pledge amount

Your membership commitment, so far, (adjusted support)

CIRCLES OF HONOR

Please consider joining one of our Circles of Honor in the 2020-2021 fiscal year if you're able to support us at this level.

Circle of Judea: $3,000—$3,599
Circle of Tzedakah Righteousness: $3,600—$4,999
Circle of Mitzvah Commandment: $5,000—$7,199
Circle of Shalom Peace: $7,200—$9,999
Circle of Chesed Kindness: $10,000+

Circle of Honor pledge amount

Your membership commitment, so far, (Circle of Honor support)

CAPITAL MAINTENANCE FEE

Capital Maintenance Fees of $300/year apply in the second through seventh years of membership. Members also have the option to pay Capital Maintenance Fees as a one-time, lump sum of $1,800.

* Capital Maintenance Fee

Please Select OneMy household is in year two through seven of membership and I understand that $300 will be added to this total membership commitment.We would like to pay our Capital Maintenance as a lump sumMy household membership is in its eighth year or more and I understand that nothing more is owed for Capital Maintenance.

To pay the Capital Maintenance Fee as a lump sum, please contact our Business Manager, Liz Gibbons, at egibbons@judeareform.org.

The Association of Reform Zionists of America (ARZA), a partner organization of the Union for Reform Judaism, supports the Reform movement in Israel, through advocacy, organizing, education, and travel experiences. If you want to support ARZA, Judea Reform makes it easy to join them when you join us. Membership in ARZA is optional. Membership in ARZA costs $50.

I would like to join ARZA, please include their $50 dues charge in my JRC bill.

Your membership commitment, so far, including ARZA dues

Your total membership commitment for 2020-2021

COMMITMENT TO INCLUSION AT JRC

Judea Reform strives to be an inclusive, diverse, and welcoming community to all. We are committed to supporting special needs families and individuals, older adults, interfaith families, people of color, LGBTQ families and individuals, and others who belong to traditionally underrepresented communities within JRC. Our goal is to make it easier for congregants to more fully participate in the religious, social, and educational life of our synagogue.

A comments box is provided in this form for you to describe your specific inclusion needs, which may relate to a child or member with special needs, the needs of interfaith households, the needs of older adults, or some other way that Judea can welcome and include all members. The information you provide in this section will be used to make JRC as inclusive as possible. Alternatively, you may choose to discuss these matters directly with clergy, staff, or with the Inclusion or Membership committee chairs.

Comments related to your specific inclusion needs:

Information for Renewing Members

Online Membership Renewal Form

CHILDREN

Last Year's Support from your Family

MEMBERSHIP SUPPORT

How Much to Contribute?

Payment Schedule

MEMBERSHIP COMMITMENT

MEMBERSHIP SUPPORT

ALTERNATIVE SUPPORT

CIRCLES OF HONOR

ALTERNATIVE SUPPORT

CIRCLES OF HONOR

CAPITAL MAINTENANCE FEE

COMMITMENT TO INCLUSION AT JRC

May this synagogue be, for all who enter, the doorway to a richer and more meaningful life.

Prefer Paper?