New Membership Application - Form - Beth Chayim Chadashim

Welcome! We invite you to fill out and submit the membership form below.

One of our lay leaders will reach out to you to discuss what type of membership might fit your needs and your financial commitment. BCC is deeply committed to inclusivity - regardless of our members' financial abilities. If you wish to discuss your involvement with BCC or ask any questions you are welcome to reach out to Rabbi Jillian Cameron.

We will officially welcome you into the congregation at a Shabbat service and by an announcement in our weekly congregational email (unless you prefer we do not publicize your name). Please be in touch with any questions. We look forward to getting to know you and welcoming you to our special community!

MEMBER #1 INFORMATION

* First Name

* Last Name

* Email Address

Phone Number

Gender (optional)

Pronouns (optional)

* Address 1

Address 2

* City

* State

* Zip

Occupation

Employer

* Birthdate

If you are partnered, your anniversary date

Hebrew Name

Bar/Bat/B'rit Mitzvah Date (if applicable)

Emergency Contact Name

Emergency Contact Phone #

Emergency Contact Relationship

MEMBER #2 INFORMATION

First name

Last Name

Email Address

Phone Number

Gender (optional)

Pronouns (optional)

Address 1

Address 2

City

State

Zip

Occupation

Employer

Birthdate

Hebrew Name

Bar/Bat/ B'rit Mitzvah Date (if applicable)

What are some of the ways your membership to BCC will enhance your life? We, the membership committee, would love to know about your hopes and wishes that come with your membership.

As we recite our family blessing each Friday night, please let us know any information that will help us welcome you in. This can be a detail from your (family) history, your family structure, a particular talent you have, your relationship to Judaism, etc.

Please list all minor children who are part of your BCC family membership (if applicable)

BCC occasionally mentions member names in our weekly email/website/social media. Are there any restrictions to mentioning your name(s)?

Reciting the Mourner’s Kaddish and attending Yizkor (Memorial) services are opportunities to remember loved ones who have died. Please list the anniversaries of death of anyone whom you would like to remember annually below. Please then indicate whether you would like the Yahrzeit to be observed on the Gregorian/English Calendar or the Hebrew calendar. You will be notified via email when your loved one will be remembered at BCC Shabbat Services You will be notified via email when your loved one will be remembered at BCC Shabbat Services.

I would like yahrzeits observed on:

Gregorian/English CalendarHebrew Calendar

Yahrzeit

Full Name of Deceased

Hebrew Name of Deceased (if known)

Gregorian/English Date of Passing

Hebrew Date of Passing (if known)

Name of Person Observing

Relationship to Observer

Yahrzeit

Full Name of Deceased

Hebrew Name of Deceased (if known)

Gregorian/English Date of Passing

Hebrew Date of Passing (if known)

Name of Person Observing

Relationship to Observer

Yahrzeit

Full Name of Deceased

Hebrew Name of Deceased (if known)

Gregorian/English Date of Passing

Hebrew Date of Passing (if known)

Name of Person Observing

Relationship to Observer

Are you currently a member of other community organizations you would like us to know about?

Other information (if needed)

Getting Involved at BCC

Below is a listing of the various committees and regular activity groups at BCC, all of which invite your participation, as well as a listing of areas in which we need volunteers. Please call or email our Office Administrator, Maggie Boyles, if you have any questions about getting involved. Some of the rewards of participating in BCC's historical narrative are fond friendships and knowing that one has contributed to the building of a resilient LGBTQ+ Jewish community.

Please let us know what interest group(s) (Havurah) you might be interested in.

Other Areas

Service GreeterVolunteer (Admin/Office/Events)Assist with data entry from home

Please add activities you'd like to see at BCC