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New Member 2025-2026 Annual Commitment Form
Please verify reCaptcha before submitting the form.
This form is for credit card and ACH only.
If you pay with a donor advised fund, stock option, charitable foundation, or with a bank issued check please contact Sarah Robleto at s.robleto@judeagables.org to complete your membership commitment.
*
How many primary adults are in your household?
Please Select One
One Primary Adult
Two Primary Adults
*
First Name
*
Last Name
*
Email
*
Cell Phone
Work or Home Phone
*
Birthdate
*
Address:
*
City:
*
State:
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zipcode:
*
First Name
*
Last Name
*
Email
*
Cell Phone
Work or Home Phone
*
Birthdate
*
Emergency Contact First Name :
*
Emergency Contact Last Name :
*
Emergency Contact Email :
*
Emergency Contact Cell :
Emergency Contact Work Phone :
Our online membership directory, which is accessible to members only, will now list cell phone numbers. If you do not want your cell phone number displayed in the online directory, click here to opt out.
Our online membership directory, which is accessible to members only, will now list cell phone numbers. If you do not want your cell phone number displayed in the online directory, click here to opt out.
*
How many children (under the age of 28) live in your household?
Please Select One
None
Child 1
Child 2
Child 3
Child 4
*
First Name
*
Last Name
*
Date of Birth
Mobile
*
Do you grant us permission to use photos and/or videos of this child for promotional purposes in print, digital media, or on our website?
Please Select One
Yes, you have permission
No, you do not have permission
*
First Name
*
Last Name
*
Date of Birth
Mobile
*
Do you grant us permission to use photos and/or videos of this child for promotional purposes in print, digital media, or on our website?
Please Select One
Yes, you have permission
No, you do not have permission
*
First Name
*
Last Name
*
Date of Birth
Mobile
*
Do you grant us permission to use photos and/or videos of this child for promotional purposes in print, digital media, or on our website?
Please Select One
Yes, you have permission
No, you do not have permission
*
First Name
*
Last Name
*
Date of Birth
Mobile
*
Do you grant us permission to use photos and/or videos of this child for promotional purposes in print, digital media, or on our website?
Please Select One
Yes, you have permission
No, you do not have permission
Click on the box to upload a personal or family photo:
To ensure your profile is complete and easily identifiable for members and staff, we kindly request that you upload a profile photo (family, if applicable).
*
Please choose a membership commitment appropriate for you -
Please Select One
Sustaining - $6,629
Core - $4,180
Torah Circle - Crown of the Torah - $42,400
Torah Circle - Friend of the Torah - $29,700
Torah Circle - Light of the Torah - $21,500
Torah Circle - Mantle of the Torah - $14,600
Torah Circle - Supporter of the Torah - $11,100
Torah Circle - Pointer of the Torah - $7,750
Affiliate Membership - $2,750
Under 35 - Complimentary (donation appreciated)
*We welcome all who wish to join Temple Judea. If you have financial concerns, please contact our Executive Director, Sharon Israel Moskovitz, for a confidential conversation by completing this form.
informational form
• Annual commitments do not include Religious School, Bar/Bat Mitzvah, Kabbalat Torah (Confirmation) or Margaux Early Childhood School fees.
• High Holy Day tickets are included in your membership for each adult (based on membership) and all children under the age of 28 in the same household.
*
Please choose a membership commitment appropriate for you -
Please Select One
Sustaining - $4,230
Core - $2,750
Torah Circle - Crown of the Torah - $42,400
Torah Circle - Friend of the Torah - $29,700
Torah Circle - Light of the Torah - $21,500
Torah Circle - Mantle of the Torah - $14,600
Torah Circle - Supporter of the Torah - $11,100
Torah Circle - Pointer of the Torah - $4,500
Affiliate Membership - $2,750
Under 35 - Complimentary (donation appreciated)
*We welcome all who wish to join Temple Judea. If you have financial concerns, please contact our Executive Director, Sharon Israel Moskovitz, for a confidential conversation by completing this form.
informational form
• Annual commitments do not include Religious School, Bar/Bat Mitzvah, Kabbalat Torah (Confirmation) or Margaux Early Childhood School fees.
• High Holy Day tickets are included in your membership for each adult (based on membership) and all children under the age of 28 in the same household.
Amount $ -
Please specify amount you'd like to donate.
*
Please check the box provided to indicate your acceptance of the $495 mandatory security fee.
Please check the box provided to indicate your acceptance of the $495 mandatory security fee.
*Temple Judea remains steadfast in prioritizing the safety and well-being of its members, students, guests, and staff. Collaborative efforts with our law enforcement partners have resulted in heightened security measures, both with personnel and to our facility. To sustain this endeavor, a mandatory security fee has been implemented, underscoring our commitment to fostering a secure environment rooted in our Jewish values.
*
I would like to add a Voluntary 18% Chai Contribution
Please Select One
Sustaining
Core
Torah - Circle Crown of the Torah
Torah Circle - Friend of the Torah
Torah Circle - Light of the Torah
Torah Circle - Mantle of the Torah
Torah Circle - Supporter of the Torah
Torah Circle - Pointer of the Torah
Affiliate Membership
Other
No, thank you
Please select the same Membership Category you committed to in the previous section of this form. The amount will be automatically computed from the commitment amount.
*
I would like to add a Voluntary 18% Chai Contribution
Please Select One
Sustaining
Core
Torah Circle - Crown of the Torah
Torah Circle - Friend of the Torah
Torah Circle - Light of the Torah
Torah Circle - Mantle of the Torah
Torah Circle - Supporter of the Torah
Torah Circle - Pointer of the Torah
Affiliate Membership
Other
No, thank you
Please select the same Membership Category you committed to in the previous section of this form. The amount will be automatically computed from the commitment amount.
*
Enter amount in box provided
*
I would like to pay $50 ARZA dues
Please Select One
Yes
No
ARZA - Connects and Represents Reform Jews in Israel
*
Would you like to purchase the Early Bird Blessings Bundle?
Please Select One
Yes, I'd like this Early Bird bundle!
No, I'll buy my tickets at a later time
*
How many children are in your household?
Please Select One
None
1
2
3
4
5
*
I would like to become a member of Women of Temple Judea (WTJ):
Please Select One
Miriam's Circle ($90)
Base membership ($60)
Complimentary, 1st year Temple Judea members only*
No
Click here to learn more
*
I would like to become a member of Men's Chavurah (MENSch):
Please Select One
Membership ($54)
No
Click here to learn more
If you’d like to learn more about our LEV campaign and/or other advancement contributions and endowments in a confidential conversation, please check the box and our Senior Director of Advancement, Danielle F. Spiegelman, will reach out to you.
If you’d like to learn more about our LEV campaign and/or other advancement contributions and endowments in a confidential conversation, please check the box and our Senior Director of Advancement, Danielle F. Spiegelman, will reach out to you.
Click here
to learn more about LEV.
*
Are you interested in enrolling your child(ren) in Temple Judea's Religious School?
Please Select One
Yes, I'd like to sign my child(ren) up for Religious School
I'd like to learn more about this program
No, I am not interested in Religious School for my child(ren) at this time
I do not have children eligible for this program
Participation in the Religious School program is available for children ages 2 years through high school. Please note that there is an additional fee for this program and a separate registration form will be sent to those who indicate interest.
Adult 1 please select your interest(s):
Adult Learning
Children's Programming
Worship Opportunites
Volunteer
Teen Programming
College Programming
Social Action
Chesed (Caring Community)
Adult 2 please select your interest(s):
Adult Learning
Children's Programming
Worship Opportunites
Volunteer
Teen Programming
College Programming
Social Action
Chesed (Caring Community)
*
Having evaluated my financial ability with regard to Temple Judea's needs, I hereby pledge my annual commitment for the year 2025-2026. Please type your name in the space provided below to indicate your acceptance of this policy.
Total 2025-2026 Commitment
This form is for credit card and ACH only.
If you pay with a donor advised fund, stock option, charitable foundation, or with a bank issued check please contact Sarah Robleto at s.robleto@judeagables.org to complete your membership commitment.
Once you press submit, you can choose your payment option on the next screen.
Sat, June 7 2025 11 Sivan 5785