Membership Application

We would like to welcome you to Temple Beth Torah – “A Family of Families” – a vibrant Reform Jewish Congregation located in the west-central Palm Beach County Village of Wellington, Florida.

By completing our Membership Application today, you are taking the first step to joining our family. Once you click submit, we will reach out to you within the coming days to officially welcome you and discuss the next steps. Welcome to Temple Beth Torah!

Adult 1 Title

* Adult 1 First Name

Adult 1 Middle Name

* Adult 1 Last Name

* Adult 1 E-Mail

* Adult 1 Home Phone

* Adult 1 Mobile Phone

* Adult 1 Birth Date

Adult 1 Gender

Adult 1 Place of Employment

Adult 1 Job Title / Occupation

Adult 1 Hebrew Name

Adult 1 Mother's Hebrew Name

Adult 1 Father's Hebrew Name

Previous synagogue (if applicable)

City of previous synagogue

OrthodoxConservativeReformOther

If Other, please explain

Adult 1 Yahrzeit 1

Adult 1 Yahrzeit 2

Adult 1 Yahrzeit 3

Adult 1 Yahrzeit 4

Adult 1 Yahrzeit 1 Name

Adult 1 Yahrzeit 2 Name

Adult 1 Yahrzeit 3 Name

Adult 1 Yahrzeit 4 Name

Adult 1 Yahrzeit 1 Relationship

Adult 1 Yahrzeit 2 Relationship

Adult 1 Yahrzeit 3 Relationship

Adult 1 Yahrzeit 4 Relationship

* Primary Address Line 1

Primary Address Line 2

* Primary Address City

* Primary Address State

* Primary Address Zip Code

* Marital Status

Wedding Date

Adult 2 Title

Adult 2 First Name

Adult 2 Middle Name

Adult 2 Last Name

Adult 2 E-Mail

Adult 2 Mobile Phone

Adult 2 Birth Date

Adult 2 Gender

Adult 2 Place of Employment

Adult 2 Job Title / Occupation

Adult 2 Hebrew Name

Adult 2 Mother's Hebrew Name

Adult 2 Father's Hebrew Name

Adult 2 Yahrzeit 1

Adult 2 Yahrzeit 2

Adult 2 Yahrzeit 3

Adult 2 Yahrzeit 4

Adult 2 Yahrzeit 1 Name

Adult 2 Yahrzeit 2 Name

Adult 2 Yahrzeit 3 Name

Adult 2 Yahrzeit 4 Name

Adult 2 Yahrzeit 1 Relationship

Adult 2 Yahrzeit 2 Relationship

Adult 2 Yahrzeit 3 Relationship

Adult 2 Yahrzeit 4 Relationship

I/we have preplanned arrangements at a cemetery

YesNo

If yes, please give the name and location.

* Do you have any children?

If you are interested in enrolling your children in our Shorashim Hebrew School, you will be able to do so online once your registration is confirmed.

Child 1 First Name

Child 1 Last Name

Child 1 Hebrew name (if known)

Child 1 Gender

Child 1 Date of Birth

Child 1 Grade in School

Child 2 First Name

Child 2 Last Name

Child 2 Hebrew name (if known)

Child 2 Gender

Child 2 Date of Birth

Child 2 Grade in School

Child 3 First Name

Child 3 Last Name

Child 3 Hebrew name (if known)

Child 3 Gender

Child 3 Date of Birth

Child 3 Grade in School

Child 4 First Name

Child 4 Last Name

Child 4 Hebrew name (if known)

Child 4 Gender

Child 4 Date of Birth

Child 4 Grade in School

Financial Information

At Temple Beth Torah, any individual or family interested in joining our congregation should have the opportunity to do so. No one, therefore, will be denied membership for financial reasons. If you have a need to discuss alternative financial arrangements, please select the box below.

Equity Membership Annual Financial Contribution- $1,800 / 1 Adult Household for 2024-2025 Fiscal Year
- The Temple Beth Torah Fair Share Model is based on the number of adults living in the home. Children under the age of 26 living in the home or away at school are part of the household, but not counted as an adult for this purpose.
- Temple Beth Torah's fiscal year is July 1 - June 30. Dues are payable annually, semiannually, quarterly, or monthly and must be paid in full by June 1st each year.
Congregation Continuity Fund- $1,000 / 1 Adult Household (One-time assessment, payable over five years)
- The Temple Beth Torah Continuity Fund applies to all new members and may be paid over a five year period. (This fee does not apply to members aged 65 and older).

Financial Information

Equity Membership Annual Financial Contribution- $3,600 / 2 Adult Household for 2024-2025 Fiscal Year
- The Temple Beth Torah Fair Share Model is based on the number of adults living in the home. Children under the age of 26 living in the home or away at school are part of the household, but not counted as an adult for this purpose.
- Temple Beth Torah's fiscal year is July 1 - June 30. Dues are payable annually, semiannually, quarterly, or monthly and must be paid in full by June 1st each year.
Congregation Continuity Fund- $2,000 / 2 Adult Household (One-time assessment, payable over five years)
- The Temple Beth Torah Continuity Fund applies to all new members and may be paid over a five year period. (This fee does not apply to members aged 65 and older).

* Adult 1 Electronic Signature

Please contact me to discuss financial assistance.

900 Big Blue Trace Wellington, FL 33414 Temple Office (561) 793-2700 Preschool Office (561) 793-2649 Fax (561) 793-1072 Email office@templebethtorah.net

900 Big Blue Trace Wellington, FL 33414
Temple Office (561) 793-2700 Preschool Office (561) 793-2649
Fax (561) 793-1072 Email office@templebethtorah.net