Current Member RenewalMembership Renewal Form Step 1 of 616%Membership at CBSRZAny person of the Jewish faith, over 18 years of age, may become a Member of the Congregation, subject to approval of the Board of Directors. Whether Jewish or non-Jewish, a spouse, life partner, or a child (under age 26 living at home), of a Member is also welcomed as a Member and receives all the benefits and privileges of Membership. If you need additional information please contact Wendy Bayor, Temple Administrator, at office@cbsrz.org or 860-526-8920.Membership RenewalI/We hereby wish to renew my/our membership at CBSRZ, making a personal and philanthropic commitment to the support and continuity of this community.Confirmation* Adult 1 Name Confirmation Adult 2 Name Date* Date Format: MM slash DD slash YYYY Contact Information*My/Our information is on file and up to date.I/We need to update our information.Adult 1 InformationFull Name First Middle Last Religious Background Jewish Not JewishHebrew Name (if known)Home Address Street City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Phone Numbers Home Work Mobile E-Mail Address OccupationBirthday MM DD YYYY Anniversary (if applicable) MM DD YYYY Adult 2 Information (if applicable)Full Name First Middle Last Religious Background Jewish Not JewishHebrew Name (if known)Home Address (if different from Adult 1) Street City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Phone Numbers Home Work Mobile E-Mail Address OccupationEmergency Contact InformationPlease fill in the name(s), relationship to you, and phone number(s) of one or two people we can contact in the event of an emergency. This information will not appear on the membership roster.Children Living at Home/CollegePlease list even those who are grown.NameBirthdateHebrew Name (if known)Current School Grade Other Family Members at CBSRZNameRelationship Web/Photo ReleaseI authorize CBSRZ to use my and my family members' images/likness in CBSRZ-related print publications or on the congregational website for the purposes of publicity. I understand that I may not be notified in advance of publication. Images/likenesses of minors will not be used, in any manner, without prior notification and consent from a parent/guardian.Initials (Adult 1)Initials (Adult 2)Do not give permission I/We do not give permission for our images/likenesses to be used by CBSRZ.Privacy StatementCBSRZ does not share congregants' personal contact information with outside organizations or individual parties, and does not confirm membership to non-members without the express consent of our congregants. However, contact information is shared with other members of CBSRZ via the Membership Directory and by special requests to our staff.Initials (Adult 1)Initials (Adult 2)InclusionCBSRZ strives to be an inclusive community and aims to accommodate those who may require special assistance in order to participate fully in congregational activities. We invite you to share with us in the space below any physical, cognitive, emotional, or behavioral challenges that you (or members of your family) may have. As always, your information will be kept strictly confidential, and will be shared with clergy or staff only as needed in order to assure CBSRZ's inclusiveness and accessibility. Please also feel free to discuss these issues on a confidential basis with staff, in addition to, or instead of, responding to this form.YahrzeitsYahrzeits are read at every Friday night service on the Hebrew anniversary of a loved one's death. Many congregants choose to honor loved ones with a memorial plaque. Please contact the temple office for more information.NameDate of DeathTo Whom RelatedRelationship Opportunities for InvolvementWe offer many ways to get involved and contribute, not only to CBSRZ, but to the bigger world outside our doors. Everyone has something to offer. Start small and volunteer for one thing. Host one Oneg, or plan an ambitious start-up venture. Whether you find your path with Social Action, Chesed, the Mavens, any of the other volunteer opportunities, or with something entirely new at CBSRZ, it will be worthwhile.Volunteer Opportunities for Adult 1If you are interested and able to volunteer, please review and select. The committee chairperson will be in touch with more information.Volunteer Opportunities for Adult 2If you are interested and able to volunteer, please review and select. The committee chairperson will be in touch with more information.COMMITTEES(Adult 1) I would like to learn more about volunteering on the following committees... Adult Education Art Gallery Cemetery Choir Communications Development Facilities Finance Inclusion Mavens Membership Outreach Program Religious Affairs Religious School Education Social Action YouthCOMMITTEES(Adult 2) I would like to learn more about volunteering on the following committees... Adult Education Art Gallery Cemetery Choir Communications Development Facilities Finance Inclusion Mavens Membership Outreach Program Religious Affairs Religious School Education Social Action YouthSPECIAL SKILLS(Adult 1) I have skills to share with the congregation: Accounting/Financial Chanting Torah Chevra Kadisha (Burial Society) Event Planning Graphic Design/Marketing Materials Hebrew Skills Lectures Legal Expertise Musical Instrument Special Needs Assistance Teaching/Tutoring Web DesignSPECIAL SKILLS(Adult 2) I have skills to share with the congregation: Accounting/Financial Chanting Torah Chevra Kadisha (Burial Society) Event Planning Graphic Design/Marketing Materials Hebrew Skills Lectures Legal Expertise Musical Instrument Special Needs Assistance Teaching/Tutoring Web DesignSpecial Tasks: Administrative(Adult 1) Facilities Office VolunteerSpecial Tasks: Administrative(Adult 2) Facilities Office VolunteerSpecific Tasks: Community(Adult 1) Calling/welcoming new members Inviting a new member to dinner Helping members who are ill Providing transportation to services Making mealsSpecific Tasks: Community(Adult 2) Calling/welcoming new members Inviting a new member to dinner Helping members who are ill Providing transportation to services Making mealsSpecific Tasks: Ritual(Adult 1) Assist with Kiddush luncheon High Holidays assistance Host an Oneg Participating in services Participating in a shiva minyan Shabbat greeter Sound/tech support at servicesSpecific Tasks: Ritual(Adult 2) Assist with Kiddush luncheon High Holidays assistance Host an Oneg Participating in services Participating in a shiva minyan Shabbat greeter Sound/tech support at servicesSpecific Tasks: Religious School/Youth(Adult 1) Substitute teaching Assist with K-7 programs Other program assistanceSpecific Tasks: Religious School/Youth(Adult 2) Substitute teaching Assist with K-7 programs Other program assistanceSpecific Tasks: Special Events(Adult 1) Sukkah building and decorating Hanukkah celebration Annual Community Seder Purim Carnival Mitzvah Day Books & Bagels Music & More Shabbat Across AmericaSpecific Tasks: Special Events(Adult 2) Sukkah building and decorating Hanukkah celebration Annual Community Seder Purim Carnival Mitzvah Day Books & Bagels Music & More Shabbat Across America(Adult 1) I want to help, but... I am so overwhelmed with all of the volunteering options, I need help choosing! Please contact me. I am already volunteering on a committee.(Adult 2) I want to help, but... I am so overwhelmed with all of the volunteering options, I need help choosing! Please contact me. I am already volunteering on a committee.Membership CommitmentFinancial Support We hope that your affiliation with CBSRZ brings you joy, meaning, and lasting friendships. May our years together fulfill your passions for prayer, learning, social justice, and community. Synagogue members make annual financial commitments that support CBSRZ as an active and vibrant religious, educational, and cultural institution. Membership pledges pay for the professional and support staff, subsidize our youth educational journey, and provide the funds needed to cover the expenses inherent in operating a Jewish community.Membership CategoriesMember One or two adults and any children under 26 living at home. Young Member One or two adults and any children under 18 or under; oldest family member 32 years of age or younger. Summer Member One or two adults who have a permanent residence in another state and are in Connecticut for six months or less each year. Second Synagogue Member One or two adults and any children living at home who are full members in good standing at another synagogue. Letter of good standing from first synagogue membership required. Membership PledgeBasic Dues Member Single/Single Parent: $1,660 Family: $2,560 Young Member Single/Single Parent: $780 Family: $1,280 Summer Member Single/Single Parent: $1,280 Family: $1,280 Second Synagogue Member Single/Single Parent: $780 Family: $1,280Fair Share & Chai Dues ContributionsCongregation Beth Shalom Rodfe Zedek depends on Fair Share dues contributios to assist those who are unable to meet minimum requirements, but would like to be a part of our congregation. Any amount you are able to pledge in excess of basic membership dues will help us continue to provide a full spectrum of religious, cultural, educational, and related programs. Fair Share Single/Single Parent: amount greater than $1,660 Family: amount greater than $2,560 Chai Single/Single Parent: amount greater than $2,700 Family: amount greater than $5,400Adjusted Pledge/VarianceWe honor all of our members and those who wish to be members of CBSRZ. A core value of our community is that financial limitations will never be a barrier to membership. If you are unable to pledge our basic category, please contact the office to discuss a financial commitment for membership that works for you. Yes, I would like to speak to the CBSRZ Treasurer in regard to my financial commitment. I understand that I need to contact Treasurer, Stephen Rozenberg (treasurer@cbsrz.org or 860-227-6105) prior to July 31st.Host an OnegThe purpose of the oneg is to provide light refreshments after the service (we provide wine and challah for Kiddish and Motzi blessings). Hosting an oneg is a responsibility, but also an honor, and a way to meet others at CBSRZ with whom you may not had any previous contact. Your thoughtful fulfillment of this task is, as always, greatly appreciated.I would like to host an Oneg. Please contact me to schedule.In lieu of hosting, I will make a $75 contribution to the Food Fund.Election & PaymentI/We are electing the following membership type:* Chai member: Single ($2,700) Member: Single/Single Parent ($1,660) Chai Member: Family ($5,400) Member: Family ($2,560) Young Member: Single/Single Parent ($780) Young Member: Family ($1,280) Summer Member: Single/Single Parent ($1,280) Summer Member: Family ($1,280) Second Synagogue: Single/Single Parent ($780) Second Synagogue: Family ($1,280)I will make pledge payments according to the following schedule:*Annually (a single payment, due in full with pledge commitment)Semiannually (two payments, due July 1 and December 31)Quarterly (four payments, due July 1, September 30, December 31, and March 31)Monthly (twelve payments due at the end of the month, July through June)Basic Membership Dues Please fill in with the amount due based on your membership category and payment schedule. The amount in this box will be charged to your credit card, should you choose that payment option.Additional Fair Share Dues Please fill in with any additional donation you wish to make. The amount in this box will be charged to your credit card, should you choose that payment option.Oneg In lieu of hosting an oneg, I/We will make a $75 contribution. The amount in this box will be charged to your credit card, should you choose to pay with that option.Total $0.00 Payment Method*If you would prefer to pay by credit card, please contact the CBSRZ office after submitting this form. 860.526.8920. Thank you. PREFERRED METHOD By personal check, mailed to CBSRZ, 55 East Kings Highway, Chester, CT 06412Through my online banking serviceCashThank youThank you for completing the membership renewal form online. When you click "submit" your application will be sent to the CBSRZ office. You will be contacted by the CBSRZ office within the next few business days if there are any questions.Thank you.