Congregation Beth El Membership Form
Page 1
We are so excited to have you join our Beth El community! Please fill out the form below to complete your application.
Not ready to join yet, but want to learn more?
Click here
to get in contact with us.
Applicant One Information
Salutation
Please select...
Mr.
Ms.
Mrs.
Mx.
Miss
Dr.
Prof.
Hon.
Rabbi
Cantor
Judge
Hazzan
Ambassador
First Name
Last Name
Gender
Please select...
Female
Male
Other
Prefer Not to Answer
Pronouns
Please select...
She/Her
She/They
They/She
They/Them
He/Him
They/He
He/They
Xey/Xem
Ze/Zem
Any Pronouns
Use Name
Date of Birth
Is this applicant Jewish?
Yes
No
All non-Jewish family members are encouraged to participate as fully as possible in synagogue life
Hebrew Name (transliteration)
Tribe
Please select...
Kohen
Levi
Israel
Unknown
Marital Status
Please select...
Single
Married
Divorced
Partnered
Widowed
Separated
Date of Marriage
Contact Information
Primary Email
Would you like to join Beth El's email list/listserv?
Yes
No
You will be added to our General Information/Announcements list. Please let us know what other types of emails you are interested in receiving (you can modify these at any time after signing up).
The Week Ahead (events and services in the upcoming week -
highly recommended
)
Condolences
Mazal Tovs/Simchas
Off the Bimah (weekly clergy updates)
Women of Beth El
Men's Club
Israel
Youth Programming
Monthly Event Preview
Connect (Social events, networking, interest groups, etc)
Engage (Tikkun Olam, culture, entertainment)
Learn (Adult learning opportunities)
Pray (Upcoming services and descriptions)
Mobile/Cell Phone
Home Phone
Preferred Phone for Contact
Mobile/Cell
Home
By checking this box, you agree to receive text messages from Beth El. Standard msg/data rates may apply.
Street Address
City
State
Zip Code
Employer
Occupation/Title
Hobbies and Interests
Congregation Beth El has many opportunities for participation. Please indicate those in which you would be interested:
Social Interests
Havurot
Men's Club
Sisterhood/Zhava
Senior Caucus
LGBTQ
Tikkun Olam (social action)
Bruchim Habaim (disability inclusion)
Outreach to Interfaith Families
Educational Interests
Adult Education
Family Education
Religious School
Day School
College Outreach
Israel Affairs
Youth Activities
Torah and Service Interests
Torah Reader - Early Morning Service
Torah Reading - Main Service
Torah Reading - High Holidays
Torah Reading - Other Holidays
Haftarah - Early Morning Service
Haftarah - Main Service
Haftarah - High Holidays
Haftarah - Other Holidays
Service Leader - Musaf
Service Leader - Shacharit
Service Leader - Torah Service
Service Leader - Friday Night
Service Leader - Evening Minyan
Service Leader - Morning Minyan
Service Leader - Shivah
Service Leader - Youth
Beth El Community Interests
Ritual
House, Properties, Landscaping
Marketing, Scroll, Website
Library
Membership, Retention, Recruitment
Fundraising
Ushering
Chevra Kadisha (Burial Society)
Chesed (caring)
Women of Beth El and Men's Club
Your first year of membership with Beth El includes a free year of membership with Women of Beth El or Men's Club ($36/annually thereafter).
I would like to join
Women of Beth El
Men's Club
Please check skills and hobbies for further participation.
Skills or Hobbies
Acting
Art
Board Games
Bridge
Cooking
Cycling
Hiking
Knitting/Crochet
Mah Jongg
Musical Instrument
Public Interest Law
Running
Singing/Choir
Softball
Teaching
Writing
Yoga
Other Hobbies/Interests
Affinity Groups
- Beth El affinity groups meet for learning and professional networking. Please let us know if you're interested in joining one of our affinity groups.
STEM Professionals
Mental Health Professionals
Women in Healthcare
Real Estate Professionals
Government Relations/Lobbyists
Freelance/Consultants
Lawyers
Is there another adult in this household?
Yes
No
Applicant Two Information
Salutation
Please select...
Mr.
Ms.
Mrs.
Mx.
Miss
Dr.
Prof.
Hon.
Rabbi
Cantor
Judge
Hazzan
Ambassador
First Name
Last Name
Gender
Please select...
Female
Male
Other
Prefer Not to Answer
Pronouns
Please select...
She/Her
She/They
They/She
They/Them
He/Him
They/He
He/They
Xey/Xem
Ze/Zem
Any Pronouns
Use Name
Date of Birth
Is this applicant Jewish?
Yes
No
All non-Jewish family members are encouraged to participate as fully as possible in synagogue life
Hebrew Name (transliteration)
Tribe
Please select...
Kohen
Levi
Israel
Unknown
Contact Information
Primary Email
Please use a different email than Applicant One to avoid errors in our database. If you share an email, please leave this blank.
Would you like to join Beth El's email list/listserv?
Yes
No
You will be added to our General Information/Announcements list. Please let us know what other types of emails you are interested in receiving (you can modify these at any time after signing up).
The Week Ahead (events and services in the upcoming week -
highly recommended
)
Condolences
Mazal Tovs/Simchas
Off the Bimah (weekly clergy updates)
Women of Beth El
Men's Club
Israel
Youth Programming
Monthly Event Preview
Connect (Social events, networking, interest groups, etc)
Engage (Tikkun Olam, culture, entertainment)
Learn (Adult learning opportunities)
Pray (Upcoming services and descriptions)
Mobile/Cell Phone
Home Phone
Preferred Phone for Contact
Mobile/Cell
Home
By checking this box, you agree to receive text messages from Beth El. Standard msg/data rates may apply.
Employer
Occupation/Title
Hobbies and Interests
Congregation Beth El has many opportunities for participation. Please indicate those in which you would be interested.
Social Interests
Havurot
Men's Club
Sisterhood/Zhava
Senior Caucus
LGBTQ+
Tikkun Olam (social action)
Bruchim Habaim (disability inclusion)
Outreach to Interfaith Families
Educational Interests
Adult Education
Family Education
Religious School
Day School
College Outreach
Israel Affairs
Youth Activities
Torah and Service Interests
Torah Reader - Early Morning Service
Torah Reading - Main Service
Torah Reading - High Holidays
Torah Reading - Other Holidays
Haftarah - Early Morning Service
Haftarah - Main Service
Haftarah - High Holidays
Haftarah - Other Holidays
Service Leader - Musaf
Service Leader - Shacharit
Service Leader - Torah Service
Service Leader - Friday Night
Service Leader - Evening Minyan
Service Leader - Morning Minyan
Service Leader - Shivah
Service Leader - Youth
Beth El Community Interests
Ritual
House, Properties, Landscaping
Marketing, Scroll, Website
Library
Membership, Retention, Recruitment
Fundraising
Ushering
Chevra Kadisha (Burial Society)
Chesed (caring)
Women of Beth El and Men's Club
Your first year of membership with Beth El includes a free year of membership with Women of Beth El (Sisterhood/Zhava) or Men's Club ($36/annually thereafter).
I would like to join
Women of Beth El
Men's Club
Please check skills and hobbies for further participation.
Skills or Hobbies
Acting
Art
Basketball
Board Games
Bridge
Cooking
Cycling
Hiking
Knitting/Crochet
Mah Jongg
Musical Instrument
Public Interest Law
Running
Singing/Choir
Softball
Writing
Yoga
Other Hobbies/Interests
Affinity Groups
- Beth El affinity groups meet for learning and professional networking. Please let us know if you're interested in joining one of our affinity groups.
STEM Professionals
Mental Health Professionals
Women in Healthcare
Real Estate Professionals
Government Relations/Lobbyists
Freelance/Consultants
Lawyers
Page 2 - Children
Are there children age 25 or under living in this household?
Yes
No
Child Information
Child's First Name
Last Name
Date of Birth
Gender
Please select...
Female
Male
Other
Prefer Not to Answer
Pronouns
Please select...
She/Her
She/They
They/She
They/Them
He/Him
They/He
He/They
Xey/Xem
Ze/Zem
Any Pronouns
Use Name
You have indicated that one of the applicants is not Jewish. If this parent is the mother, has the child converted?
Yes, this child has converted.
No, this child has not converted.
N/A. This child's mother is Jewish.
Name of Public/Private School
Please select...
Ashburton ES
Bannokburn ES
BEPS (Beth El Preschool)
Bethesda Chevy Chase HS
Bethesda ES
Bradley Hills ES
Bullis School
Burning Tree ES
Cabin John MS
Charles E. Smith Jewish Day School
Chevy Chase MS
Cold Spring ES
Concord Hill School
Fallsmead ES
Garrett Park ES
Georgetown Day
Green Acres
Hebert Hoover MS
Holton-Arms School for Girls
Julius West MS
Kensington Parkwood ES
Lab School of Washington
Lowell School
Lucy Barnsley ES
Milton Gottesman Jewish Day School
North Bethesda MS
North Chevy Chase ES
Norwood School
Other
Pyle MS
Redland MS
Richard Montgomery HS
Ronald McNair ES
Seven Locks ES
Sidwell Friends
Silver Creek MS
Somerset ES
Tilden MS
Walter Johnson HS
Westbrook ES
Westland MS
Whitman HS
Wood Acres ES
Wyngate ES
Current Grade
Jewish Education
Please select...
Currently Enrolled in Beth El Preschool (BEPS)
Currently Enrolled in Beth El Religious School
Will Enroll in Beth El Religious School
Attends Charles E Smith Jewish Day School
Attends Milton Gottesman Jewish Day School
Attends Another Synagogue's Religious School
Other (please specify)
Jewish Education - Other:
Enroll this child in a Beth El Youth Group?
Bonim (Grades K-2)
Machar (Grades 3-5)
Teens (Grade 6-10)
Your Beth El account will be charged the membership fee.
To add another child, please click "Add another response" below.
Page 3 - Yahrzeits Observed (Anniversary Date of Death)
Do you have any Yahrzeits to observe?
Yes
No
Yahrzeit Information
Deceased First Name
Deceased Last Name
Date of Death (English)
Before or After Sundown?
Please select...
Before Sundown
After Sundown
Unknown
Yahrzeit Observed By
Applicant One
Applicant Two
Deceased's Relationship to Applicant One
Please select...
Father
Mother
Husband
Wife
Spouse
Father-in-Law
Mother-in-Law
Grandfather
Grandmother
Uncle
Aunt
Brother
Sister
Son
Daughter
Nephew
Niece Brother-in-Law
Sister-in-Law
Relation
Cousin
Friend
Colleague
Deceased's Relationship to Applicant Two
Please select...
Father
Mother
Husband
Wife
Spouse
Father-in-Law
Mother-in-Law
Grandfather
Grandmother
Uncle
Aunt
Brother
Sister
Son
Daughter
Nephew
Niece Brother-in-Law
Sister-in-Law
Relation
Cousin
Friend
Colleague
If you wish to add another Yahrzeit observation, please click
"Add another response" below.
Yizkor Book
Yizkor is recited on Yom Kippur, the eighth day of Passover, Shemini Atzeret, and the second day of Shavuot. During Yom Kippur and Passover, Beth El prints out a Yizkor book. If you think you would like the names of your loved ones listed in the Yizkor book, please fill out the information below. You will be able to review and update your Yizkor book information when registering for the High Holidays and before the book is printed for Passover.
Please list each name on a separate line.
In Memory Of
Remembered By
Page 4 - Additional Information
How did you hear about Beth El?
Beth El’s website
Friends or relatives
Washington Jewish Week
Beth El Preschool
Attended services or event
Other
Other: Please specify
Do you require assistance with transportation to services and/or activities?
Yes
No
Congregation Beth El is a warm, welcoming, and inclusive community. We strive to ensure that all congregants have the fullest opportunity to participate. Please let us know if there is any way we can assist you either in the box below or by visiting our main office in person or contacting us at 301-652-2606.
Beth El Relations
Are You Related to Other Current Members of Beth El?
Yes
No
Please list the names of your relatives who are Beth El members, along with your relationship to them.
Please check all that apply for Applicant 1
Multiple generations of my family belong or belonged to Beth El
I attended Beth El Preschool (BEPS)
I attended Beth El Religious School
Please check all that apply for Applicant 2
Multiple generations of my family belong or belonged to Beth El
I attended Beth El Preschool (BEPS)
I attended Beth El Religious School
Former Synagogue Affiliation
Former Synagogue Name
City
State
Cemetery Information
Do You Own a Cemetery Plot?
Yes
No
Cemetery Plot Information
Cemetery Name
Plot Location
Cemetery Address
City
State
Zip Code
Page 5
Category of Membership
Select a Membership Type
Please select...
Two Adults With or Without Children
One Adult With Children
One Adult, No Children
Two Adults With or Without Children: Please select an option below
At least one adult is 18–29 years old
At least one adult is 30–35 years old
Both adults are 36–69 years old
At least one adult is 70–75 years old
At least one adult is 76+ years old
One Adult With Children: Please select an option below
One adult is 18–29 years old with children ages 0–25
One adult is 30+ years old with children ages 0–25
One Adult, No Children: Please select an option below
One adult is 18–29 years old
One adult is 30–35 years old
One adult is 36–69 years old
One adult is 70–75 years old
One adult is 76+ years old
I/We understand that, should my/our marital status change, I/we will be expected to notify the synagogue within thirty (30) days and that my/our membership category will change going forward.
I/We hereby apply for membership in Congregation Beth El of Montgomery County. If accepted, I/we promise to abide by its constitution, bylaws, and regulations. I/we understand that a payment of one quarter of dues (billed separately from this form) is required to complete the application process.