Questions about this form? Contact Membership Coordinator, Ariana Shane and she will be happy to help!
310-652-7354 ext 223 or ashane@tbala.org

Adult Household Members

Last Namerequired

First Name of Adult Memberrequired

Middle name

Nickname (if preferred)

Title

Hebrew Name

ie: Moshe ben David v'Sara

Gender

M F Prefer not to say

Date of Birthrequired

Occupationrequired

Type of Business

Job Title

Work Phone

Work Address

Cell Phonerequired

Emailrequired

Religious Background

Born to Jewish:*

Mother Father Both Neither

Converted to Judaism

Date (or approximate date), Location, Sponsoring Rabbi

Previous or Other Congregational Affiliations

Names, Location, Dates

Have you been active in Temple life?

Yes No

If yes, in what capacity?

Last Name

First Name of Adult Member

Middle name

Nickname (if preferred)

Title

Hebrew Name

ie: Moshe ben David v'Sara

Gender

M F Prefer not to say

Date of Birth

Occupation

Type of Business

Job Title

Work Phone

Work Address

Religious Background

Born to Jewish:

Mother Father Both Neither

Converted to Judaism

Date, Location, Sponsoring Rabbi

Previous or Other Congregational Affiliations

Names, Location, Dates

Have you been active in Temple life?

Yes No

If yes, in what capacity?

Home Contact Information

Address 1required

Address 2

Cityrequired

Staterequired

Ziprequired

Other, please describe

Anniversary Date (mm/dd/yyyy)

All member contact information (including cell phones) is published in our Membership Directory.

I do NOT want my contact information in the TBA Membership Directory

List Children

Please provide children's full name(s), gender, birth date, Hebrew name, and school

Adult Children

Please list your adult children's names, spouse (if any), Birth date, Address, and Email

Relatives who are members of Temple Beth Am

Please list names and relationships

List of Departed for Yahrzeit Notification

Please list name of deceased - English and Hebrew names, Date of Death (mo/dd/yy), Before or After Sundown, and Relationship

Temple Beth Am currently requires attendees to provide proof of Covid vaccination and booster in order to participate unmasked in indoor Services and programs. Please upload your card below and/or present to Security on site.

I/we have already submitted proof of vaccination to TBA

Member 1 Vaccination Card

Max file size: 10 MB

Member 2 Vaccination Card

Max file size: 10 MB

Member 3 Vaccination Card

Max file size: 10 MB

Member 4 Vaccination Card

Max file size: 10 MB

Member 5 Vaccination Card

Max file size: 10 MB

Please select ONE of the following Membership Categories:

Basic

Includes High Holiday tickets in the Service of your choice. 1 ticket for One-Member Household, 2 tickets for Two-Member Household. Plus tickets for children up to age 18 who live in your household.

Two-Adult Household ($4095) One-Adult Household ($2045)

Young Adults

Under age 35; no JLC or Day School privileges.

Two-Adult Household ($2045) One-Adult Household ($1025)

Students or Under 26

No JLC or Day School privileges.

Two-Adult Household ($410) Individual Student Membership ($205)

Affiliate

No High Holiday seats, No School Privileges

Two-Adult Household ($1235) One-Adult Household ($620)

Dues Consideration

We recognize that some in our community are experiencing financial hardship. We stand by our commitment that finances should never be a barrier to full participation at TBA.

Please click here to request information on confidential Dues Consideration.

Additional Fees & Participation

Security Fee*

Affiliate Security Fee ($100)

Additional Fees & Participation

Facility Fee*

*** Half of the funds from the Facility Fee are held in a special account for emergency facility related expenses; the balance supports growing needs to maintain our facility on an ongoing basis.

$200

Security Fee*

Family ($700) Individual ($350)

Additional Fees & Participation

Facility Fee*

*** Half of the funds from the Facility Fee are held in a special account for emergency facility related expenses; the balance supports growing needs to maintain our facility on an ongoing basis.

$200

Security Fee*

Family ($700) Individual ($350)

Additional Fees & Participation

Facility Fee*

*** Half of the funds from the Facility Fee are held in a special account for emergency facility related expenses; the balance supports growing needs to maintain our facility on an ongoing basis.

$200

Security Fee*

Family ($700) Individual ($350)

Annual Giving/Jeremiah Society

Join a visionary group of Temple Beth Am and Pressman families whose generosity makes our community strong!

Yes!

Community Kehilla $1-$999
Friends Haverim $1,000-$1,799
Head's Circle/Angel $1,800-$3,599
Prophets Neviim $3,600-$7,999
Supporters Tomkhim $8,000-$17,999
Builders Bonim $18,000-$24,999
Benefactors Tzadikkim $25,000-$35,999
Heroes Giborim $36,000-$49,999
Guardians Shomrim $50,000-$99,999
Pillars Amudim $100,000 +

Enter your Jeremiah/Annual Giving Amount

Please select ONE of the following payment options:

Payment Options:*

Please select your payment preference. Please note that if you select the 50% option, the balance must be paid by December 31, 2022.

Full 50% Payment Plan (by Check) Payment Plan (by Credit Card)

Enter your name and phone numberrequired

Please provide your name and best phone number to reach you. Our Accounting office will contact you for additional information needed to process payment plans. Thank you.

Membership Duesrequired

Please indicate the amount of your commitment you would like to pay now.

High Holidays at TBA

High Holiday Tickets at Temple Beth Am are "general admission" for any of our services in order to allow members and guests to enjoy a variety of worship experiences throughout the holidays. TBA members are also invited to purchase extra tickets for family and friends at $350 per ticket, valid for all High Holiday Services.

Your TBA membership also includes tickets for children and youth, up to age 18, who live in your household. You may request tickets for your children to sit with you OR, we’re excited to announce that this year, for the first time, drop-off HHD kids programming (ECC-6th grade) is fully included in your TBA membership! There will be supervised morning programs located outdoors on campus. Full registration (opening in August) is required for all youth programming.

Please review the options below and let us know how you will participate in this year's High Holidays.

High Holiday Tickets*

I need two tickets (Two-adult household membership) I need one ticket (One-adult household membership) I prefer to participate virtually (no ticket required) I DO NOT need High Holiday tickets this year

Extra Ticketsrequired

Please select the number of extra High Holiday Tickets that you wish to purchase.

Full Name(s) of Extra Ticket holders

Please tell us the full name(s) of who will be joining you for High Holidays.

High Holiday Tickets*

Extra Ticketsrequired

Please select the number of extra High Holiday Tickets that you wish to purchase.

Full Name(s) of Extra Ticket holders

Please tell us the full name(s) of who will be joining you for High Holidays.

High Holiday Tickets*

Extra Ticketsrequired

Please select the number of extra High Holiday Tickets that you wish to purchase.

Full Name(s) of Extra Ticket holders

Please tell us the full name(s) of who will be joining you for High Holidays.

Purchase Mahzorim

A limited number of Lev Shalem prayer books are available during services. We encourage members to purchase their own.

HIGH HOLIDAY FAMILY PROGRAMMING
We’re excited to offer a wide variety of programming for families with kids over the course of the High Holiday season- keep an eye out for information about registration for drop-off children’s programming, coming soon!

BOOK OF REMEMBRANCE
The Book of Remembrance is distributed at the Yom Kippur Yizkor Memorial service, and is used throughout the year when the Yizkor memorial prayers are said. In the Book of Remembrance we recall those dearly departed whose families remember them with love. Suggested Donation: $36.00 per name.

Click here to view last year's Book of Remembrance for reference

NOTE: ALL NAMES MUST BE SUBMITTED BY 9/7/22

Names for Book of Remembrance

Donation for Book of Remembrance

Suggested donation: $36 per name

TBA Sisterhood Membership

Sisterhood Member ($50)

Opportunities for Involvement

Temple Beth Am is a vibrant community that welcomes your involvement.

Please contact me/us about involvement in TBA program(s) as follows:

Olam (World)* Hesed (Community)* Yibaneh (Hands On)

Social Action at Temple Beth Am: TBA has a number of committees working toward Tikkun Olam & Social Justice. Take action with fellow TBA members through various projects supporting organizations including Jewish World Watch, HIAS, OneLA, Big Sunday, Food Forward, Project Hope, SOVA, HIAS, and more. We also have a variety of initiatives underway such as our TBA Refugee Task Force, Food Pantry, Operation PB&J and the Giving Spirit, Annual Senior Thanksgiving Luncheon, Racial Justice programs, and Interfaith partnerships, awaiting your participation. There’s something for everyone!

I'm interested in getting involved with Social Action/Social Justice.

Volunteer Opportunities

Serve as a greeter on Shabbat or Holidays Volunteer in our Gift Shop Volunteer in our Lainer Library during or after school hours Advancement (fundraising)

Tell me more about...

Sisterhood (Rosh Hodesh women’s programs, book groups, Mah Jongg, cooking and more) Men’s Society (Torah and Tequila, and more) Parent Association (ECC, Day School, JLC-Jewish Learning Community) Opportunities for Adult Programming and Learning

Special Interest Groups

Our programming and engagement department has established several interest groups that meet on a regular basis on zoom. Let us know which groups you’re interested in learning more about:

Special Skills

Do you have any special talents or skills or areas of interest? i.e. creative writer, play softball, mah jong maven. Please share them with us:

Ritual Skills

Are you a Torah reader? Do you know how to lead Musaf? Please indicate any rituals skills you may have. We are always looking to involve community members in our services.

If you'd like to be involved but you're not sure how, please don't hesitate to contact Ari Fife, our Director of Programming & Engagement at 310-652-7354 ext 215

Thank you for completing this application.

Questions about this form? Contact Membership Coordinator, Ariana Shane and she will be happy to help!
310-652-7354 ext 223 or ashane@tbala.org

Adult Household Members

Member 1

Religious Background

Member 2

Religious Background

Home Contact Information

Children

Vaccinations

Temple Beth Am currently requires attendees to provide proof of Covid vaccination and booster in order to participate unmasked in indoor Services and programs. Please upload your card below and/or present to Security on site.

Membership Types

Please select ONE of the following Membership Categories:

Additional Fees & Participation

Additional Fees & Participation

Additional Fees & Participation

Additional Fees & Participation

Please select ONE of the following payment options:

High Holidays at TBA

HIGH HOLIDAY FAMILY PROGRAMMING
We’re excited to offer a wide variety of programming for families with kids over the course of the High Holiday season- keep an eye out for information about registration for drop-off children’s programming, coming soon!

Opportunities for Involvement

Temple Beth Am is a vibrant community that welcomes your involvement.

If you'd like to be involved but you're not sure how, please don't hesitate to contact Ari Fife, our Director of Programming & Engagement at 310-652-7354 ext 215

Questions about this form? Contact Membership Coordinator, Ariana Shane and she will be happy to help!310-652-7354 ext 223 or ashane@tbala.org

Adult Household Members

Member 1

Religious Background

Member 2

Religious Background

Home Contact Information

Children

Vaccinations

Temple Beth Am currently requires attendees to provide proof of Covid vaccination and booster in order to participate unmasked in indoor Services and programs. Please upload your card below and/or present to Security on site.

Membership Types

Please select ONE of the following Membership Categories:

Additional Fees & Participation

Additional Fees & Participation

Additional Fees & Participation

Additional Fees & Participation

Please select ONE of the following payment options:

High Holidays at TBA

HIGH HOLIDAY FAMILY PROGRAMMING We’re excited to offer a wide variety of programming for families with kids over the course of the High Holiday season- keep an eye out for information about registration for drop-off children’s programming, coming soon!

Opportunities for Involvement

Temple Beth Am is a vibrant community that welcomes your involvement.

If you'd like to be involved but you're not sure how, please don't hesitate to contact Ari Fife, our Director of Programming & Engagement at 310-652-7354 ext 215

Questions about this form? Contact Membership Coordinator, Ariana Shane and she will be happy to help!
310-652-7354 ext 223 or ashane@tbala.org

HIGH HOLIDAY FAMILY PROGRAMMING
We’re excited to offer a wide variety of programming for families with kids over the course of the High Holiday season- keep an eye out for information about registration for drop-off children’s programming, coming soon!