If you would like the option to bill to your account or set up a payment schedule, be sure to log-in to your ShulCloud Account.

* Are you submitting as a new or renewal?

* Are there two heads of household?

* Are there any children 18 years or younger in your household?

* Are there any children 19 years or older in your household?

* Emergency Contact Name

Someone outside of your household whom we may contact in case of emergency.

* Emergency Contact Relation

Emergency Contact Phone

Member A: Title

Example: Mr. , Mrs., Dr.

* Member A: First Name

* Member A: Last Name

Member A: Hebrew Name

Member A: Birthday

Member A: Email

A confirmation email will be sent to this address.

Member A: Mobile Number

Member B: Title

Example: Mr. , Mrs., Dr.

* Member B: First Name

* Member B: Last Name

Member B: Hebrew Name

Member B: Birthday

Member B: Email

Member B: Mobile Number

Anniversary:

* Philanthropic Support Level for 2025-2026

* Facility/Security Fee

Facility/Security FeeStandard annual fee of $600

Join the TBT Men's Club

Men's Club Dues - $54Men's Club Dues - $108Men's Club Dues - $180

Join the TBT Sisterhood

Sisterhood Dues - $54Sisterhood Dues - $72Sisterhood Dues - $108

If you would like to make an additional donation to your philanthropic commitment please enter the amount below.

Total Annual Commitment

Household Information

Member A: Preferred Name

Member A: Hebrew Skills

Read HebrewChant TorahSpeak Hebrew

Member A: Any special skills/talents to share with our community?

Member A: Any special needs?

ie hearing or vision impaired

Member B: Preferred Name

Member B: Hebrew Skills

Read HebrewChant TorahSpeak Hebrew

Member B: Any special skills/talents to share with our community?

Member B: Any special needs?

Choose How You Receive The Scroll – Print or Digital!

* As we look toward the future, The Scroll will move to primarily digital distribution starting with the October 2025 issue. If you still enjoy flipping through a printed copy, no worries — you can easily opt in to continue receiving it by mail. If not, you'll get our newsletter sent straight to your email inbox. Thank you for growing with us!

Photo and Video Permission

We occasionally take photos and videos during events and activities to share on our website, social media, and in print materials such as newsletters and fliers.

By checking “Yes,” you give Temple Beth Tikvah permission to use photos or videos that include the individual listed for non-commercial purposes such as the temple’s website, social media platforms, and printed publications. Names will not be used without additional consent. You may request removal from future use at any time.

Photo Permission:

Children Under 18 Information

Child A: First, Middle and Last Name

Child A: Hebrew Name

Child A: Pronouns

Child A: Birthday

Child A: Grade Level

Child B: First, Middle and Last Name

Child B: Hebrew Name

Child B: Pronouns

Child B: Birthday

Child B: Grade Level

Child C: First, Middle and Last Name

Child C: Hebrew Name

Child C: Pronouns

Child C: Birthday

Child C: Grade Level

Children 19 or older Information

Child A: First, Middle and Last Name

Child A: Hebrew Name

Child A: Pronouns

Child A: Birthday

Child A: Current School

Child B: First, Middle and Last Name

Child B: Hebrew Name

Child B: Pronouns

Child B: Birthday

Child B: Current School

Child C: First, Middle and Last Name

Child C: Hebrew Name

Child C: Pronouns

Child C: Birthday

Child C: Current School

Yahrzeit Information:

Please Provide: Deceased Name, relationship to member A or B, English Date or Hebrew Date of preference observance.

Do you own cemetery property?

Name of Memorial Park:

Have you made other arrangements?

Please describe:

Would you like to be contacted about funeral/cemetery programs?

Philanthropy / Membership 2025 - 2026

Household Information

Children Under 18 Information

Children 19 or older Information