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Join us for Shabbat Services: Friday at 6:00 pm, Saturday at 9:30 am

An egalitarian Conservative congregation serving the diverse Orange County Jewish Community

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Membership Application and Annual Giving Form

We are excited to get to know you! Please complete and submit the CBI Member Application below.

Once that is submitted, the Annual Giving Form will be displayed. Please complete and submit to finalize your application.

CBI New Member Information

Today's Date

MM slash DD slash YYYY

Today's Date

Adult 1

Adult 1 Name(Required)

Title First Name Nickname Last Name

Adult 1 Primary Phone Number

Cell Phone Number

Adult 1 Email

Email Address

Adult 1 Birthday

MM slash DD slash YYYY

Date of Birth

Adult 1 Hebrew Names

Please enter Hebrew names, if known, using English transliteration:

Hebrew Name Father's Hebrew Name Mother's Hebrew Name

Adult 1 Tribe

Please select one:

Kohen

Levi

Yisrael

Adult 1 Occupation

Occupation

Is there a second adult?(Required)

Yes

No

Adult 2

Adult 2(Required)

Title FIrst Name Nickname Last Name

Adult 2 Primary Phone Number

Cell Number

Adult 2 Email Address

Email Address

Adult 2 Birthday

MM slash DD slash YYYY

Birthday

Adult 2 Hebrew names

Please enter Hebrew names, if known, using English transliteration:

Hebrew Name Father's Hebrew Name Mother's Hebrew Name

Adult 2 Tribe

Please select one:

Kohen

Levi

Yisrael

Adult 2 Occupation

Occupation

Household Information

Home Address

Street Address City State / Province / Region ZIP / Postal Code

Home Phone

Landline

Marital Status

Single

Married

Partnered

Divorced

Widowed

Other

Wedding Anniversary

MM slash DD slash YYYY

Children

Do you have a child under 26 living in your household:

Yes

No

Enter children's information. Click on the plus sign to add additional children.

First Name

Middle Name

Last Name

Hebrew Name

Birthday

Gender

General Information

How did you hear about CBI?

What are you looking for in a synagogue?

Prior synagogue affiliation?

Are you new to Orange County?

Yes

No

Interests

Which opportunities are you interested in at CBI? (Check all that apply)

Lifelong learning

Young Professionals/singles

Attending Services

Torah reading/service leading

Social Action

Volunteering/Committee Member

Youth Activities (Religious School & USY)

Men’s /Women’s Club

Preschool/Young family Programming

Comfort Committee

Book Club

Please list other interests, and enter anything else you would like to tell us

Yahrzeits

CBI would like to help you remember to observe your yahrzeits.

Do you have Yahrzeit to add?

Yes

No

Enter Yahrzeit information. Click on the plus sign to add additional Yahrzeits.

Full Name

Relationship

Related to

Hebrew and/or English date of death

2111 Bryan Avenue, Tustin, CA 92782

Shabbat Services: Friday at 6:00pm, Saturday at 9:30am

(714) 730-9693

cbi18@cbi18.org

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