2023-2024 New Partner Application

TEMPLE ADAT ELOHIM

NEW PARTNER APPLICATION: July 1, 2023 - June 30, 2024

Welcome to Temple Adat Elohim. We are thrilled you are joining our community!

If you need assistance completing this form or have questions, please call the temple office at (805) 497-7101.

* Please indicate the date you would like to join the Temple Adat Elohim

* Person completing this form (first and last name)

* Email address (to receive a confirmation)

PERSON INFORMATION

* How many adults?

Please Select OneOne Adult HouseholdTwo Adult HouseholdPlease indicate if you are a one adult household or two adult household.

Adult 1

Title

i.e. Miss, Mrs., Mr., Dr.

* First Name

* Last Name

Hebrew Name

* Cell Phone

Business Phone

* Email Address

* Date of Birth

Occupation

* Gender

Adult 1 - Religious Background

* How do you identify, religiously?

Other, please explain

* Bar/Bat Mitzvah?

Please Select OneYesNo

* Confirmation?

Please Select OneYesNo

* Hebrew Fluency?

Please Select OneNoneBeginnerAdvanced

Optional: Anything you would like us to know about you?

Adult 2

Title

i.e. Miss, Mrs., Mr., Dr.

* First Name

* Last Name

Hebrew Name

* Cell Phone

Work Phone

* Email Address

* Date of Birth

Occupation

Gender

Adult 2 - Religious Background

* How do you identify, religiously?

* Other, please explain

* Bar/Bat Mitzvah?

Please Select OneYesNo

* Confirmation?

Please Select OneYesNo

* Hebrew Fluency?

Please Select OneNoneBeginnerAdvanced

Anything you would like us to know about you? Optional

HOUSEHOLD INFORMATION

Home Phone

Please address our mail as follows (i.e. Mr. & Mrs. Sam G. Member):

For husband and wife memberships, mail will be addressed to “Mr. & Mrs. Sam G. Member” unless requested otherwise.

* Residence Street Address

Mail will be sent here unless requested otherwise requested below.

* City

* State

* Zip

Billing address (if different than above)

If different - otherwise leave blank

City

State

Zip

* Marital Status

Wedding Date

If applicable. Otherwise, please skip.

Last Synagogue Affiliation

If applicable. Otherwise, please skip.

Last Year of Affiliation

If applicable. Otherwise, please skip.

CHILDREN (under age 18)

* Child 1 First Name

* Child 1 Last Name

Child 1 Hebrew Name

* Child 1 Secular School Name

* Child 1 Current Grade

* Child 1 Date of Birth

* Child 2 First Name

* Child 2 Last Name

Child 2 Hebrew Name

* Child 2 Secular School Name

* Child 2 Current Grade

Child 2 Date of Birth

* Child 3 First Name

* Child 3 Last Name

Child 3 Hebrew Name

* Child 3 Current Grade

* Child 3 Secular School Name

Child 3 Date of Birth

* Child 4 First Name

* Child 4 Last Name

Child 4 Hebrew Name

* Child 4 Secular School Name

* Child 4 Current Grade

Child 4 Date of Birth

* Child 5 First Name

* Child 5 Last Name

Child 5 Hebrew Name

* Child 5 Secular School Name

* Child 5 Current Grade

Child 5 Date of Birth

ADULTS CHILDREN (18 years or older)

* Adult Child 1 First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

* Adult Child 2 First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

* Adult Child 3 First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

* Adult Child 4 First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

* Adult Child 5 First Name

* Last Name

* Date of Birth

* Residing with you?

Please Select OneYesNo

* College Student?

Please Select OneYesNo

OTHER ADULTS IN YOUR HOUSEHOLD

* Adult 1 First Name

* Last Name

* Age

* Relationship

* Adult 2 First Name

* Last Name

* Age

* Relationship

* Adult 3 First Name

* Last Name

* Age

* Relationship

YAHRZEIT INFORMATION

Please list the names of loved ones for whom you wish Yahrzeit notices sent, and indicate whether you wish to observe the secular or Hebrew date. Annually we will send you a reminder and read the names of loved ones at services.

Select the plus button for each Yahrzeit.

* First Name

* Last Name

* Related to - First name

* Related to - Last name

* Relationship

* Date of Death

* Before sunset?

Optional: Burial Date

* Do you wish to observe the Hebrew or secular date?

Please Select OneHebrewSecular

PARTNERSHIP LEVELS

We are thrilled that you have decided to join our Temple Adat Elohim community! Our partnership (membership) levels provide you with Jewish experiences and social activities that are the cornerstone of our community.  

PARTNERSHIP LEVELS EXPLAINED:
Our various levels have been designed to meet the needs of our congregants.

SUSTAINER - The level that represents the actual average cost per family to meet the operational needs of the temple. It is our hope that all who can comfortably join the temple at this level will do so.
BUILDER - The level that represents those in our community who are capable of partnering at a level above the Sustainer level. Joining at this level allows us to provide partnership levels below our minimum need to maintain operations. Your generosity helps make our community available for whom the Sustainer level may not be possible. including young families and seniors.
CONGREGANT & PARTNER - These levels are designed for individuals or families who want to join the temple, but can't join at the Sustainer or Builder levels. The Partner level is the minimum level of commitment to participate in the Religious School.

* Couples who have our clergy officiate their wedding receive a TAE partnership for one year as a gift.

Click here to learn more about our partnership levels.
All partnership fees are 100% tax deductible to the fullest extent of the law.

*Infant Center, Early Childhood Center, and Religious School tuition, annual security fees, and annual facilities fees are not included in any partnership level.

Temple Adat Elohim's fiscal year is July 1st - June 30th. Billing for this fiscal year will begin on July 1, 2023.

CONGREGANT LEVEL

Young Adult Individual or Family - $300
One young adult under age 35, OR one adult with all children under age 6.
One Adult Household - $1,200
One adult household, no children attending Religious School.

Includes High Holy Day tickets for adults and children in your household (under age 30), access to Religious School Kindergarten, weekly Shabbat services, discounted rates for the Infant Center and Early Childhood Center, and access to clergy (spiritual counseling, lifecycle events, etc.).

CONGREGANT LEVEL

Young Adult Couple or Family - $600
Two young adults both under age 35, OR two adults with all children under age 6.
Two Adult Household - $1,650
Two adult household, no children attending Religious School.

SELECT YOUR COMMITMENT LEVEL

I am not joining at the Congregant levelCongregant: One Young Adult Household (under age 35)Congregant: One Adult Household - All Children Under Age 6Congregant: One Adult Household

SELECT YOUR COMMITMENT LEVEL

I am not joining at the Congregant levelCongregant: Two Young Adult Household (both under age 35)Congregant: Two Adult Household - All Children Under Age 6Congregant: Two Adult Household

PARTNER LEVEL
This is the minimum level of commitment required if you have children in Religious School, 1st through 12th grades.

One Adult Household - $1,800

Includes all the CONGREGANT offerings above, PLUS one youth group membership (up to $36 value) and access to Religious School.

PARTNER LEVEL
This is the minimum level of commitment required if you have children in Religious School, 1st through 12th grades.

Two Adult Household - $2,500

Includes all the CONGREGANT offerings above, PLUS one youth group membership (up to $36 value) and access to Religious School.

SELECT YOUR COMMITMENT LEVEL

I am not joining at the Partner levelPartner: One Adult Household

SELECT YOUR COMMITMENT LEVEL

I am not joining at the Partner levelPartner: Two Adult Household

SUSTAINER LEVEL
Joining at this level covers the cost of your household’s involvement.
*Excluding security and building maintenance costs.

$3,300

Includes all the PARTNER offerings above, PLUS one additional youth group membership (up to $36 value), one Annual Gala ticket (up to $200 value), two adult Purim party, and membership in the TAE Pillar Society (Mentor).

SELECT YOUR COMMITMENT LEVEL

I am not joining at the Sustainer levelSustainer level

BUILDER LEVEL
This level is for our philanthropic partners.

$6,600

Includes all the SUSTAINER offerings above, PLUS up to two additional complimentary High Holy Day tickets for extended family (up to $400 value), one additional Annual Gala ticket (up to $200 value), invitation to a donor recognition event, and membership in the TAE Pillar Society (Patron).

SELECT YOUR COMMITMENT LEVEL

I am not joining at the Builder levelBuilder level

ASSOCIATE PARTNER
Full dues-paying members of another approved synagogue.

$750

Associate partnership includes High Holy Day Tickets for adults and children in your household (under age 26), weekly Shabbat services, discounted rates for Early Childhood Center, and access to clergy (spiritual counseling, lifecycle events, etc.).

SELECT YOUR COMMITMENT LEVEL

I am not joining at an Associate levelAssociate level

MARRIED-BY-CLERGY
Couples who had our clergy officiate their wedding.

$0 for the first year

Married-By-Clergy partnership includes High Holy Day Tickets for adults and children in your household (under age 26), weekly Shabbat services, discounted rates for Early Childhood Center, and access to clergy (spiritual counseling, lifecycle events, etc.).

SELECT YOUR COMMITMENT LEVEL

I was not recently married by TAE's clergy.We were recently married by TAE's clergy.

ADDITIONAL FEES EXPLAINED

SECURITY FEE

All levels pay an additional security fee.
The Security Fee helps keep the community safe with security guards and cameras.

Partnership levels pay an annual security fee as follows:

TAE Partners without children attending the ECC - $525
TAE Partners with children attending the ECC - $675
Associate Partner and Married-By-Clergy - $0

* PLEASE SELECT YOUR SECURITY FEE CATEGORY

Please Select OneTAE partners without children attending the ECCTAE partners with children attending the ECCTAE partners at the associate level without children attending the ECCNot sure - Please contact me.

ANNUAL FACILITIES FEE

All levels pay an annual facilities fee of $180.
Only $15 per month to help us navigate rising costs of keeping the facilities safe and clean.

* By checking the box to the left, you understand there is a $180 annual facilities fee.
By checking the box to the left, you understand there is a $180 annual facilities fee.

SCHOOL TUITION

ECC and Religious School tuition are offered at an additional cost and are billed separately. Please contact the ECC at (805) 497-6920 or the Religious School at (805) 497-0361 for more information.

* By checking the box to the left, you understand that Infant Center, ECC, and Religious School classes are offered at an additional cost.
By checking the box to the left, you understand that Infant Center, ECC, and Religious School classes are offered at an additional cost.

ADDITIONAL INFORMATION (Optional)

How did you hear about Temple Adat Elohim?

If a partner is a friend, please indicate their name:

Would you like to be contacted by...
Brotherhood (1st year free)Sisterhood (1st year free)Social Action CommitteeHavurot (friendship circles)

TERMS

* I have read and fully agree to the terms below (please enter your full name):
The undersigned hereby represents, warrants and agrees that (i) he/she has read and understood the content of this Application, (ii) all the information provided to TAE herein is true and correct as of the date hereof, (iii) he/she agrees to be bound by the terms hereof including the payment of the Partnership Commitment and other fees and fees as and when due and payable hereunder, (iv) he/she shall abide by the bylaws, rules and regulations of TAE as they currently exist and/or as they shall be amended or adopted during the term of this membership, (v) that TAE may publish and republish photographs and videos taken of me and my family at any TAE events. Said publication may include TAE’s e-newsletter, website, social media, other publications, and local and national media as it shall determine, and (vi) TAE may include the information on this form in a roster that is distributed only to the TAE community. The undersigned authorize TAE to publish photographs of me and my family for the express purposes consistent with the mission and operations of TAE.

PAPER MAIL: We have gone paperless! Would you like to opt into receiving paper mail?
NoYes

GOT MATCH? Does your employer offer contribution matching?
NoYesIf you selected yes, we will contact you. Thank you!

PAYMENT INFORMATION

Below is your estimated annual contribution amount. If you join the temple in the middle of the fiscal year, your annual contribution amount will be prorated. Upon submitting this form someone from accounting will call you to discuss your final total and set up a payment plan with you.

After you select "submit," your information will be sent to the temple. You will not be billed until we discuss your total amount due.

Estimated Annual Dues

Remember to click the SUBMIT button at the bottom of the form to complete this application.

Thu, September 21 2023 6 Tishrei 5784