Membership Application

* Membership type

Items with a * are required.

Primary #1

* First Name

* Last Name

Hebrew Name

* Date of Birth

* Address

* City

* State

* Zip

* Home Phone #

* Mobile Phone #

* Email Address

* Are you Jewish?

Please Select OneYesNo

Mother's Hebrew Name

Father's Hebrew Name

Tribe (if not known type N/A)

Occupation

Business Phone #

Can you read Hebrew?

Primary #2

* First Name

* Last Name

Hebrew Name

* Date of Birth

Address

City

State

Zip

Home Phone #

Mobile Phone #

* Email Address

* Are you Jewish?

Please Select OneYesNo

Mother's Hebrew Name

Father's Hebrew Name

Tribe (if not known type N/A)

Occupation

Business Phone #

Can you read Hebrew?

Number of Children

*If child was adopted and birth mother was not Jewish, or if either spouse converted to Judaism, please provide conversion documents.

Child #1 Information

* First Name

Gender

* Date of Birth

Child's Hebrew Name

Name of School

Grade

Do you want to enroll this child in Hebrew School?

NoYesGrades: Kindergarten through High School

Do you want to enroll this child in our Early Childhood Program?

NoYesThis program is for 5 month to 4 year old children.

* Please select a time slot for your child.

Child # 2 Information

* First Name

Gender

* Date of Birth

Child's Hebrew Name

Name of School

Grade

Do you want to enroll this child in Hebrew School?

NoYesGrades: Kindergarten through High School

Do you want to enroll this child in our Early Childhood Program?

NoYesThis program is for 5 month to 4 year old children.

* Please select a time slot for your child.

Child # 3 Information

* First Name

Gender

* Date of Birth

Child's Hebrew Name

Name of School

Grade

Do you want to enroll this child in Hebrew School?

NoYesGrades: Kindergarten through High School

Do you want to enroll this child in our Early Childhood Program?

NoYesThis program is for 5 month to 4 year old children.

* Please select a time slot for your child.

Child # 4 Information

* First Name

Gender

* Date of Birth

Child's Hebrew Name

Name of School

Grade

Do you want to enroll this child in Hebrew School?

NoYesGrades: Kindergarten through High School

Do you want to enroll this child in our Early Childhood Program?

NoYesThis program is for 5 month to 4 year old children.

* Please select a time slot for your child.

Please answer a few questions below, we would love to get to know you!

Thank you for joining! What made you decide to join our CBO family?

If you have any relatives that are currently members of the CBO, please list names and relationships:

How did you hear about CBO?

What are you looking for in being a member of the CBO family?

Is there anything you would like us to know about you/your family?

* Please check the box.

I, HEREBY MAKE APPLICATION FOR MEMBERSHIP IN CONGREGATION BETH OHR AND AGREES TO ALL FINANCIAL TERMS AND CONDITIONS OF MEMBERSHIP.In consideration of my/our membership in Congregation Beth Ohr, I/we agree to pay all charges for dues, building and other funds, tuition, Bar/Bat Mitzvah fees and assessments upon receipt of regular statements apprising me/us of such. Any payment arrangements other than those detailed above must be made in advance and can be agreed to only by the Finance Committee. I/we understand that no High Holiday tickets will be distributed or students admitted to Sunday/Hebrew School unless my/our account is current. I/we further agree that, as a sustaining member of Congregation Beth Ohr, my/our membership and the terms of payment elected in this agreement shall continue in perpetuity until cancelled. Congregation Beth Ohr shall provide me/us with a statement reflecting the coming year’s charges after establishment pursuant to the rules and procedures and shall charge my/our cards/accounts (if applicable) in accordance with my/our election. I/we understand that I/we may cancel my/our membership at any time prior to issuance of my/our High Holiday tickets and my/our account shall be billed or refunded as applicable for all charges accrued pro rata from July 1 to the date of cancellation. I/we further understand that after I/we have received my/our High Holiday tickets, no cancellation for the current fiscal year is possible. All balances that are past-due shall incur a late charge equal to 1% per month on the outstanding balance. Further, in the event that any balance remains unpaid, we reserve the right to retain and attorney to engage in collection of said balance. In that event you will be responsible for all reasonable legal fees incurred in this collection activity. Your use of the services offered by Congregation Beth Ohr shall be deemed your acceptance of these terms and conditions. All payments are applied to satisfy arrearages in preference over current obligations. Congregation Beth Ohr has my permission to use my or my child’s photograph. I understand that the images may be used in print publications, online publications, presentations, websites, and social media only published on Congregation Beth Ohr materials and accounts. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

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This is for account setup only.

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CBO Membership Application

Membership Application

Please answer a few questions below, we would love to get to know you!