2025-2026 Temple Chai Membership Form - Form - Temple Chai

Donate

Donate

2025-2026 Temple Chai Membership Form

2025-2026 Membership
(7/1/25 - 6/30/26)

Thank you for becoming a member at Temple Chai.
Please complete the information below. Once we receive your form, we will follow-up with next steps.

* Adult 1 First Name

* Adult 1 Last name

* Adult 1 Email Address

* Adult 1 Mobile Phone

Employment Status

EmployedUnemployedRetiredStudent

* Birthday

Marital Status

Gender

Occupation

Adult 2 First Name

Adult 2 Last Name

Adult 2 Email

Adult 2 Mobile Phone

Employment Status

EmployedUnemployedRetiredStudent

Birthday

Gender

Occupation

Wedding Anniversary, if applicable

* Address

* City

* State

* Zip

Child 1 - First Name

Child 1 - Last Name

Date of Birth

Gender

Child 2 - First Name

Child 2 - Last Name

Date of Birth

Gender

Child 3 - First Name

Child 3 - Last Name

Date of Birth

Gender

Child 4 - First Name

Child 4 - Last Name

Date of Birth

Gender

Yahrzeits

Name of Deceased

Date of Death

Was death before or after sunset?

Relationship

Name of Deceased

Date of Death

Was death before or after sunset?

Relationship

Name of Deceased

Date of Death

Was death before or after sunset?

Relationship

Name of Deceased

Date of Death

Was death before or after sunset?

Relationship

Name of Deceased

Date of Death

Was death before or after sunset?

Relationship

Name of Deceased

Date of Death

Was death before or after sunset?

Relationship

For the Yahrzeit(s) above, do you prefer to be notified by English or Hebrew date?

Membership Type
All Temple Chai memberships are considered family memberships and include children under the age of 26.

Choose the Number of Adults in Household

Membership rates are based on the oldest member of your household

Choose type of 1 Adult Household

Membership rates are based on the oldest member of your household

* I acknowledge and agree to the following additional fees:

One Adult Household Security Fee $275One Adult Household Building Maintenance Fund $300These annual fees are paid by all members (even those on dues relief).
Please be sure to check both boxes.

Choose type of 2 Adult Household

Membership rates are based on the oldest member of your household

* I acknowledge and agree to the following additional fees:

Two Adult Household Security Fee $475Two Adult Household Building Maintenance Fund $525

These annual fees are paid by all members (even those on dues relief).
Please be sure to check both boxes.

Rabbi's Circle 2025 - 2026

The members of the Rabbi’s Circle represent the financial pillars of our community. Those blessed with the ability to contribute beyond their annual membership commitment to help ensure the financial stability of Temple Chai, secure our ability to attract and retain world-class clergy, and allow us to deliver the care, programming, and services that are the hallmark of our community. The Rabbi’s Circle ensures that those who face serious financial challenges are able to be part of Temple Chai and can raise their children here.

Members of our Rabbi's Circle will be invited to special events throughout the year.

Please check off the additional level of giving you would like to commit to below, beyond you annual dues, security and building maintenance fees.

Donations

Please consider making an additional donation to the General Fund

Enter in an amount $

Lev b’Lev Fund to assist those who cannot afford the full level of temple dues commitment.

Enter in an amount $

Please consider making a donation to the EcoChai Fund (to support sustainability activities at the temple)

Donation - $18Donation - $36Donation - $72

Special Considerations

We welcome members regardless of income level. If your financial situation is such that you are unable to contribute the above minimum annual commitment amounts, please contact Wendy Cohen, Executive Director, at 602-971-1234 or wcohen@templechai.com to discuss alternative options.

Please note: The selections you make on this form are considered annual membership commitments. Once we receive your form and process your membership, you will receive login information to access your account and set up payment arrangements.

Sun, July 27 2025 2 Av 5785

Home |
Donate

Privacy Settings | Privacy Policy | Member Terms

©2025 All rights reserved. Find out more about ShulCloud