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Renewal Application for Membership 2025/26 etransfer/cheque
Please verify reCaptcha before submitting the form.
We are thrilled to welcome you to Kehillat Beth Israel.
As you progress through this short form, please provide all requested information.
If you have any questions about Membership, please reach out to our Executive Director at
execdir@kehillatbethisrael.com
.
We look forward to sharing many experiences with you in the year ahead. Thank you for your support of KBI.
After submitting the form, please send your e-transfer to
payments
@kehillatbethisrael.com
. Alternatively, cheques can be made payable to
Kehillat
Beth Israel
.
*
Is there a second adult on this account?
Please Select One
Yes
No
*
Scroll to the correct age
Please make your selection
Over 41 - $1275
Age 36 to 40 - $1000
Age 31 to 35 - $750
Age 26 to 30 - $540
Age 22 to 25 - $360
The above amount includes a single family with dependents up to the age of 26.
*
Please scroll to the age of the oldest member on the account
Please Select One
Please make your selection
Over 41 - $2450
Age 36 to 40 - $1900
Age 31 to 35 - $1400
Age 26 to 30 - $1000
Age 22 to 25 - $650
Age 18 to 21 $275
The above includes a couple with dependents up to the age 26.
ADULT 1 INFORMATION
*
Adult 1 - First Name
*
Adult 1 - Last Name
*
Adult 1 - Email Address
Adult 1 - Mobile Phone
*
Adult 1 - Date of Birth
Adult 1 - Bar/Bat Mitzvah Date
Adult 1 - Bar/Bat Location
Adult 1 - Hebrew First Name
ie, 'Moshe' or 'Sara'
Adult 1 - Father's Hebrew Name
ie, 'ben Adam'
Adult 1 - Mother's Hebrew Name
ie, 'bat Miriam'
Adult 1 - Tribe
Cohen
Levi
Yisrael
None Set
Adult 1 - Employer/Business Name
Adult 1 - Employer/Business Phone
Adult 1 - Occupation
Adult 1 - Gender
N/A or Unknown
Male
Female
Adult 1 - Let us know a little more about your interests and talents in the section below. We want to help you make connections at KBI. Please let us know how we can help!
Worship
Adult Education
Social Events
Social Action/Social Justice
Caring for our members
Youth Programming
Musical Events/Choir
Film
Israel
Volunteering in the Office
Youth Education (OTT)
Gabbai Assistant
Page Turner
I have the following skills to share:
Computer skills
Video/Photography
Budget/Finance
Event Planning
I am interested in reading/chanting:
Torah
Haftarah
Shacharit
Mincha/Maariv
Marital Status
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
Marital Status of Adult 1 and 2
Single
Married
Engaged
Divorced
Widowed
Separated
N/A
Partnered
Anniversary Date
ADULT 2 INFORMATION
*
Adult 2 - First Name
*
Adult 2 - Last Name
Adult 2 - Email Address
Adult 2 - Mobile Phone
*
Adult 2 - Date of Birth
Adult 2 - Bar/Bat Mitzvah Date
Adult 2 - Bar/Bat Mitzvah Location
Adult 2 - Hebrew First Name
ie, 'Moshe' or 'Sara'
Adult 2 - Father's Hebrew Name
ie, 'ben Adam'
Adult 2 - Mother's Hebrew Name
ie, 'bat Miriam'
Adult 2 - Tribe
Cohen
Levi
Yisrael
None Set
Adult 2 - Employer/Business Name
Adult 2 - Employer/Business Phone
Adult 2 - Occupation
Adult 2 - Gender
N/A or Unknown
Male
Female
Adult 2 - Let us know a little more about your interests and talents in the section below. We want to help you make connections at KBI. Please let us know how we can help!
Worship
Adult Education
Social Events
Social Action/Social Justice
Caring for our members
Youth Programming
Musical Events/Choir
Film
Israel
Volunteering in the Office
Youth Education (OTT)
Gabbai Assistant
Page Turner
I have the following skills to share:
Computer skills
Video/Photography
Budget/Finance
Event Planning
I am interested in reading/chanting:
Torah
Haftarah
Shacharit
Mincha/Maariv
ADDRESS INFORMATION
*
Address
*
City
*
Province
*
Postal Code
PREVIOUS SYNAGOGUE INFORMATION (if any)
Name of Previous Synagogue
Reason for leaving previous Synagogue
Are you still a Member of that Synagogue?
Please Select One
Yes
No
CHILDREN'S INFORMATION
Children [English and Hebrew Names, Date of Birth]
Please list child(ren) under the age of 13. If there are no children, indicate none.
*
How many children between the ages of 13 - 18?
Please Select One
No Children
One child
Two children
Three children
Four children
Dependents between 13-18 will be charged $18/chid
CHILD 1
*
Child 1 - First Name
*
Child 1 - Middle Name
*
Child 1 - Last Name
*
Child 1 - Date of Birth
Child 1 - Gender
N/A or Unknown
Male
Female
Child 1 - Bar/Bat Mitzvah Date
Child 1 - School
CHILD 2
*
Child 2 - First Name
*
Child 2 - Middle Name
*
Child 2 - Last Name
*
Child 2 - Date of Birth
Child 2 - Gender
N/A or Unknown
Male
Female
Child 2 - Bar/Bat Mitzvah Date
Child 2 - School
CHILD 3
*
Child 3 - First Name
*
Child 3 - Middle Name
*
Child 3 - Last Name
*
Child 3 - Date of Birth
Child 3 - Gender
N/A or Unknown
Male
Female
Child 3 - Bar/Bat Mitzvah Date
Child 3 - School
CHILD 4
*
Child 4 - First Name
*
Child 4 - Middle Name
*
Child 4 - Last Name
*
Child 4 - Date of Birth
Child 4 - Gender
N/A or Unknown
Male
Female
Child 4 - Bar/Bat Mitzvah Date
Child 4 - School
*
How many dependents between the ages of 19 - 25?
Please Select One
No Children
One child
Two children
Three children
Four children
Dependents between 19 and 25 will be charged $180/child
CHILD 1
*
Child 1 - First Name
*
Child 1 - Middle Name
*
Child 1 - Last Name
*
Child 1 - Date of Birth
Child 1 - Gender
N/A or Unknown
Male
Female
Child 1 - Bar/Bat Mitzvah Date
Child 1 - School
CHILD 2
*
Child 2 - First Name
*
Child 2 - Middle Name
*
Child 2 - Last Name
*
Child 2 - Date of Birth
Child 2 - Gender
N/A or Unknown
Male
Female
Child 2 - Bar/Bat Mitzvah Date
Child 2 - School
CHILD 3
*
Child 3 - First Name
*
Child 3 - Middle Name
*
Child 3 - Last Name
*
Child 3 - Date of Birth
Child 3 - Gender
N/A or Unknown
Male
Female
Child 3 - Bar/Bat Mitzvah Date
Child 3 - School
CHILD 4
*
Child 4 - First Name
*
Child 4 - Middle Name
*
Child 4 - Last Name
*
Child 4 - Date of Birth
Child 4 - Gender
N/A or Unknown
Male
Female
Child 4 - Bar/Bat Mitzvah Date
Child 4 - School
YAHRZEIT INFORMATION
You may verify your yahrzeit information in the My Account section of the website, which can be found by clicking on your name at the top right of any page on the website. (You will need to be logged in to do this. If you are not logged in, you will see a Login button at the top right of every page.)
If you do not wish to do this online, you may contact the KBI office to review and update this information.
HIGH HOLY DAY SEATING
Open seating is offered to all members at no cost.
Reserved seating is offered at an additional cost.
Guest seats are offered to the family of members (at a cost). If the visiting family are members in good standing at a Synagogue; please contact the office at
elisheva@kehillatbethisrael.com
for reciprocal seating.
Sanctuary - $360/person
0
1
2
3
4
5
6
Reserved Sanctuary Seating
Please list all who require a reserved seat as well location of seats (if known)
For safety purposes this information is required
Social Hall - $100/person
0
1
2
3
4
5
6
Reserved Social Hall Seating
Please list all who require a reserved seat
For safety purposes this information is required
Chapel - $100/person
0
1
2
3
4
5
6
Reserved Chapel Seating
Please list all who require a reserved seat
For safety purposes this information is required
Guest Seats - $250/person
0
1
2
3
4
5
6
Guest tickets are required for visiting family
Please list all guests who will be attending
For safety purposes this information is required
Admin Only - Assisted membership Fee Amount
PAYMENT INFORMATION
Please select your preferred payment method below then proceed to submit your application.
I wish to arrange my Membership via cheque
I wish to arrange my Membership via Etransfer
Cheques are payable to
Kehillat Beth Israel
Etransfers can be sent to
payments@kehillatbethisrael.com
(only full lump sum)
Your
TAX RECEIPT
will be provided in
February, 2026
MEMBERSHIP AGREEMENT
I/we promise to abide by all the rules and regulations of the Congregation as stated in the By-Laws.
I/we understand that the Fiscal Year for payment of all Kehillat Beth Israel accounts is July 1, 2025 to June 30, 2026.
I/we understand that all requests for dues reductions can only be considered after consultation with the Executive Director.
I/We agree with all of the above statements
My 2025-26 Membership Commitment
Sat, 2 August 2025 8 Av 5785
