New Member Form - Form - Congregation B'nai B'rith

Thank you for becoming a member of CBB!
Your support sustains our vibrant house of living Judaism.

NEW MEMBER INFORMATION

* How many adults are on the membership account?

Are you a single parent household?

ADULT 1 INFORMATION

* First Name

* Last Name

* Email Address

Mobile Phone

* Address

* City

* State

* Zip

Date of Birth

* Pronouns

Religious Background

Employer/Business Name

Job Title

Industry (such as Education, Health Care, Legal, etc.)

Programs/Events

Book ClubKnitting CirclePhotographyMental Wellness

Please upload a current picture of just yourself for our confidential, internal database.

ADULT 2 INFORMATION

* First Name

* Last Name

Email Address

Mobile Phone

Date of Birth

* Pronouns

Religious Background

Employer/Buisness Name

Job Title

Industry (such as Education, Health Care, Legal, etc.)

Programs/Events

Book ClubKnitting CirclePhotographyMental Wellness

Please upload a current picture of just yourself for our confidential, internal database.

ADDITIONAL INFORMATION

Primary reason for joining CBB at this time:

Family members (include relationship) that belong to CBB:

Friends that belong to CBB:

Is there anything else you would like us to know or special skills/talents you'd like to share?

Authorization and Release for Use of Information and Photographs: I grant Congregation B'nai B'rith (CBB) permission to use my name, photographs, videos, and testimonials of me and my family in CBB's promotional, marketing, program materials and media, for public relations purposes. (Type initials below to indicate consent).

CHILDREN INFORMATION

How many dependent children do you have?

* Child First Name

* Child Last Name

Date of Birth

* Child First Name

* Child Last Name

Date of Birth

* Child First Name

* Child Last Name

Date of Birth

* Child First Name

* Child Last Name

Date of Birth

YAHRTZEIT Anniversary of an immediate family member's passing

If you would like for us to send you a yahrtzeit notice, please complete the information below. CBB observes the traditional relationships of: mother, father, husband, wife, partner, son, daughter, brother, sister.

How many yahrtzeits are you acknowledging?

First Name of Loved One

Last Name of Loved One

Observer

Name of who is observing Yarhtzeit

Relationship

Who was the loved one to this observer?

Date of Death

Which date do you prefer to observe?

First Name of Loved One

Last Name of Loved One

Observer

Name of who is observing Yarhtzeit

Relationship

Who was the loved one to this observer?

Date of Death

Which date do you prefer to observe?

First Name of Loved One

Last Name of Loved One

Observer

Name of who is observing Yarhtzeit

Relationship

Who was the loved one to this observer?

Date of Death

Which date do you prefer to observe?

First Name of Loved One

Last Name of Loved One

Observer

Name of who is observing Yarhtzeit

Relationship

Who was the loved one to this observer?

Date of Death

Which date do you prefer to observe?

NEW MEMBER COMMITMENT INFORMATION

Our membership year is July 1 - June 30.

Membership Categories

• Standard $3,800
• Family $3,200 for families with children enrolled in youth education programs
• Individual $2,200
• Affiliate $1,400 primary membership is at a synagogue outside of Santa Barbara
• OpenDor $450 per young adult (ages 20s & 30s)
• Alternative If a category above does not fit your current financial situation, please include an amount that works for you this year.

Leadership Giving (includes Annual Membership)
Membership contributions provide nearly half of CBB’s annual operating budget. Leadership Donors ensure that we keep our doors open for all to participate regardless of financial situation. Leadership Donors are invited to special gatherings and receive recognition throughout the year.

•   Sustainer $5,600
•   Rabbi's Circle $10,000
•   Rabbi's Circle "Chai" $18,000
•   Builder $25,000
•   Pillar $50,000
•   Visionary $100,000

Membership Selection

Membership Commitment Amount

Security to provide security for our community.

Suggested Amount: $180

Building Fund Every new member is assessed a one-time fee of $3,000 to help maintain our campus and facilities. This is typically paid within the first five years of membership, however a payment plan can be established.

The amount you are able to contribute, this year, to the Building Fund.

ARZA Optional $50 for The American Reform Zionist Association.

Yes, please add $50 to my total.

Are you making your gift anonymously?

Would you like to go paperless? If you select "Yes" you will receive membership renewal materials via email next year.

Would you like your membership to be automatically renewed each year? If you select "Yes" you will be invoiced for the same membership level in July of next year.

Total Commitment

Once you submit this form, you will be taken to a payment page.