2024-2025 New Membership Form - Form - Judea Reform Congregation

* Your first name

* Your last name

* Birthdate

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

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

* In what religious tradition were you raised, if any?

* With what religious tradition do you now affiliate, if any?

* How did you first hear about Judea Reform?

* What is your primary reason for joining, now?

* 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

If this person is your spouse, please share your wedding date

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.)

In what religious tradition was this person raised, if any?

With what religious tradition does this person now affiliate, if any?

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 OneNoYes

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 this 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 OneNoYes

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 this child 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 OneNoYes

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 this 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 OneNoYes

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 this 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 OneNoYes

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 this 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 OneNoYes

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 this child still in school?

Please Select OneYesNo

Sixth child's weekday school

Sixth child's grade level in weekday school

MEMBERSHIP SUPPORT

How Much to Contribute?

In pledging membership support, 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.

We rely on every member to contribute as much as you are able. Our suggested standard levels for 2024/2025 are listed below. 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 members to foster an egalitarian community.

We also recognize that standard membership support should never be a burden on any member’s ability to participate in our community. Members who would like to request an adjustment should contact our Executive Director, Emily Young, at eyoung@judeareform.org, or our Business Manager, Liz Gibbons at egibbons@judeareform.org, to discuss an appropriate membership commitment.

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, 2025.

The standard membership support levels for 2024-2025 are as follows:

Individual (One-Adult) Household	Two-Adult Household
Under Age 31, first year: $60	Both Under Age 31, first year: $60
Under Age 31, after first year: $280	Older Adult is Under Age 31, after first year: $500
Age 31: $730	Older Adult is Age 31: $1,390
Age 32: $1,035	Older Adult is Age 32: $1,770
Age 33: $1,245	Older Adult is Age 33: $2,085
Age 34: $1,480	Older Adult is Age 34: $2,385
Age 35: $1,715	Older Adult is Age 35: $2,700
Age 36 to 77: $1,895	Older Adult is Age 36 to 77: $3,100
Age 78 or older: $1,840	Older Adult is Age 78 or older: $3,050

* Please select from the following options:

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.

Please select from the following options (STANDARD)

If you would like to add a donation to your membership support that doesn't meet the Circle of Honor levels, please add it here.

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

Please enter an alternative amount for your JRC membership commitment this fiscal year.

CIRCLES OF HONOR

Judea Reform Congregation has a robust tradition of philanthropy with a growing number of members joining our Circles of Honor annually. These members pledge above the suggested membership support levels and, in doing so, ensure that everyone can take part in our sacred community regardless of financial circumstance.

Please consider joining one of our Circles with an additional pledge.

Circle of Judea: +$360 above suggested membership support
Circle of Tzedakah: +$1,000 above suggested membership support
Circle of Mitzvah: +$2,400 above suggested membership support
Circle of Shalom: +$5,400 above suggested membership support
Circle of Chesed: +$7,200 above suggested membership support

Please choose a Circle of Honor level from the list below.

If you would like to contribute an additional membership pledge that is not listed in the above COH levels, please enter it here.

SACRED SPACES FEE

In May 2021, the congregation approved a $360 Sacred Spaces Fee for all members after their first year. This fee will ensure our ability to maintain and enhance our buildings and grounds.

JOIN ARZA

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

JUDEA REFORM COMMITMENT TO INCLUSION

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

Please use the below space to provide any information you feel is important for us in reaching these goals of serving you and your family:

JUDEA REFORM ETHICS CODE

In April 2023, JRC Board of Trustees approved a congregation-wide Ethics Code. Our Ethics Code sets forth the principles for adherence to standards of conduct for our community, including all congregants, clergy, lay leaders, and professional staff. Our synagogue will be strengthened as a safe space in which to engage with one another in sacred partnership when all abide by a shared Ethics Code. Conduct in accordance with the Ethics Code is an explicit responsibility of each person in the JRC Community. Please read the full Ethics Code here. (The Ethics Code will open in a new page.)

I affirm my familiarity with the JRC Ethics Code.