Become a Member Form 2025-2026 - Form - Congregation B'nai Tikvah

Welcome to Congregation B'nai Tikvah!
If you have any questions filling out this form, please do not hesitate to call us 925/933-5397.
If you have children, please be sure you select the plus sign

in the child information section (shown below) and add the information for your children. This information will be needed before you can register them for school.

Member 1

Click here if you are a new religious school family

* First Name

* Last Name

Hebrew Name

* Date of Birth

* Gender

* Email

* Cell Phone

Have you served on any non-profit boards?

Early Religious Experience

Present Religious Experience

Congregation Most Recently Affiliated With & Date

* Occupation or Profession

Specialization or Expertise

Name of Business

* Industry Type

Special Skills

CBT should call me if help is needed with:

Does your company have a matching grants program?

YesNo

* Marital Status of Members 1 & 2

* I have chosen my marital status

I have chosen my marital status

Member 2

First Name

Last Name

Hebrew Name

Date of Birth

Gender

Cell Phone

Have you served on any non-profit boards?

Early Religious Experience

Present Religious Experience

Congregation Most Recently Affiliated With & Date

Occupation or Profession

Specialization or Expertise

Name of Business

Industry Type

Special Skills

CBT should call me if help is needed with:

Does your company have a matching grants program?

YesNo

Home Address Information

* Address Line 1

Address Line 2

* City

* State

* Zip Code

Child Information (through age 25)

Please use the plus (+) below to add your child/ren to your account

First Name

Middle Name

Last Name

Hebrew Name

Gender

Date of Birth

B'nai Mitzvah Date

School / College

Grade in Secular School

Home Address (if different than member's)

Yahrzeits
Please list the names of loved ones who have passed away by clicking on the blue plus sign. A notice will be sent annually on the anniversary of their passing.

Observe on:

English dateHebrew dateIf you choose the option to observe on the Hebrew date, our system will automatically convert the English date of death to the Hebrew calendar.

Please use the plus (+) below to create your yahrzeit list.

* Name of Deceased

* Relative of:

* Relationship

* Date of Death (English)

Get Involved, Get Engaged, and Strengthen Our CBT Family

Please let us know how adults or teens in your house would like to be engaged with our community to help focus our planning.

Other areas of interest (please specify)

Please list community organizations of which you are an active participant.

What are your hobbies or special talents?

If you had to pick one area of synagogue life in which to volunteer time, what would it be?

How did you find CBT?

How long were you thinking about synagogue affiliation before you decided to join us?

What is your reason for joining?

Please list the names of relatives / family friends at B'nai Tikvah.

Annual Congregational Commitment

* Membership Contribution

Please Select OneI pledge the standard amount of $3390I pledge the Kavod membership amount of $4000; A little extra because you can.I pledge the Kehilah membership amount of $5400; This includes the building Maintenance Contribution, Oneg Fee, High Holiday Tickets for guests}I have spoken to the Executive Director and pledge the below amount.

I pledge:

Any amount under $3390 must be approved by the Executive Director, who can be contacted at Director@tikvaheastbay.org or (925) 933-5397, before the submission of this form.

Additional contribution: I am happy to pledge this additional amount is support of my community.

* Security Contribution

Building Maintenance

Oneg Fee

Total Contribution