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Membership Form
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Congregation Beth Israel welcomes all who wish to join our warm, welcoming, and modern Reform Jewish congregation. Established in 1854 and the oldest synagogue in Texas, we have a rich history and a legacy of leadership. Membership provides a wealth of opportunities to connect with our clergy and congregational family, your spirituality, and with the local community. One of the primary benefits of a large, well-established congregation is the ability for everyone to find their place - choose from a variety of worship, community, social action, and learning opportunities that appeal to young and old alike. Our synagogue is the place that we turn to for our most meaningful moments in life. We hope that you will embrace Beth Israel as an extension of your family so that we may share those special lifecycle events together.
For information, visit
our website
.
For a visit or more information, please contact our
Membership and Engagement Manager
, Stephanie Shargal at 713-771-6221 x313 or
sshargal@beth-israel.org
Mailing Name
Name(s) and title(s) as you wish them to appear on our mailing list (for example Mr. & Mrs. Alan Jones, Alan & Shirley Jones, Mr. Alan Jones & Dr. Shirley Jones, etc.)
I prefer to receive the Temple Bulletin via postal mail.
I prefer to receive the Temple Bulletin via postal mail.
If unchecked, you will receive it and all other communications via email.
Address
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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District of Columbia
Florida
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Louisiana
Maine
Maryland
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Michigan
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New York
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Ohio
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Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Adult 1 - First Name
*
Adult 1 - Middle Name
*
Adult 1 - Last Name
Adult 1 - Nick Name
*
Adult 1 - Gender
N/A or Unknown
Male
Female
*
Adult 1 - Date of Birth
*
Adult 1 - Email
*
Adult 1 - Mobile Phone
Adult 1 - Maiden Name
if applicable
Adult 1 - Hebrew Name
Adult 1 - Mother Hebrew Name
Adult 1 - Father Hebrew Name
*
Adult 1 - Occupation
*
Adult 1 - Employer
*
Adult 1 - Religion
Please Select One
Jewish
Considering Conversion
Other
*
Adult 1 - Other Religion
if applicable
Congregation Beth Israel’s committee and volunteer program is one of the pillars of its strength. Our community is supported by our dedicated members and volunteers. Please review the options below and indicate which opportunities, if any, you might be interested in by checking the appropriate boxes. You will be contacted by the committee chair(s) of your selection(s) so that you can learn more about these opportunities to get involved. This will also allow you to meet other members of our community.
Click here
for a description of each interest.
Art
Adult Education
Brotherhood
Building/Ground Maintenance
Cemetery
College
Communications
Facilities Use/Enhancement
Inclusion & Caring
Israel Advocacy
Library
MBJLC (religious school)
Membership
Mitzvah
Social Justice
Technology
The Women of Beth Israel (Sisterhood)
Worship
Young Professionals
Marital Status
Please Select One
Single
Married
Life Partner
Divorced
Widowed
In a relationship
Engaged
Anniversary date, if applicable
*
Adult 2 - First Name
*
Adult 2 - Middle Name
*
Adult 2 - Last Name
*
Adult 2 - Nick Name
*
Adult 2 - Gender
N/A or Unknown
Male
Female
*
Adult 2 - Date of Birth
*
Adult 2 - Email
*
Adult 2 - Mobile Phone
Adult 2 - Maiden Name
if applicable
Adult 2 - Hebrew Name
Adult 2 - Mother Hebrew Name
Adult 2 - Father Hebrew Name
*
Adult 2 - Occupation
*
Adult 2 - Employer
*
Adult 2 - Religion
Please Select One
Jewish
Considering Conversion
Other
*
Adult 2 - Other Religion
if applicable
Congregation Beth Israel’s committee and volunteer program is one of the pillars of its strength. Our community is supported by our dedicated members and volunteers. Please review the options below and indicate which opportunities, if any, you might be interested in by checking the appropriate boxes. You will be contacted by the committee chair(s) of your selection(s) so that you can learn more about these opportunities to get involved. This will also allow you to meet other members of our community.
Click here
for a description of each interest.
Art
Adult Education
Brotherhood
Building/Ground Maintenance
Cemetery
College
Communications
Facilities Use/Enhancement
Inclusion & Caring
Israel Advocacy
Library
MBJLC
Membership
Mitzvah
Social Justice
Technology
The Women of Beth Israel (Sisterhood)
Worship
Young Professionals
*
Emergency Contact - First Name
*
Emergency Contact - Last Name
*
Emergency Contact - Relationship
*
Emergency Contact - Phone Number
*
How many children under the age of 26 live in the family home?
Please Select One
None
One child
Two children
Three children
Four children
*
Child 1 - First Name
*
Child 1 - Middle Name
*
Child 1 - Last Name
*
Child 1 - Hebrew Name
*
Child 1 - Gender
*
Child 1 - Date of Birth
*
Child 1 - Current School
*
Child 1 - Grade
Child 1 - Email
Child 1 - Mobile
*
Child 2 - First Name
*
Child 2 - Middle Name
*
Child 2 - Last Name
*
Child 2 - Hebrew Name
*
Child 2 - Gender
*
Child 2 - Date of Birth
*
Child 2 - Current School
*
Child 2 - Grade
Child 2 - Email
Child 2 - Mobile
*
Child 3 - First Name
*
Child 3 - Middle Name
*
Child 3 - Last Name
*
Child 3 - Hebrew Name
*
Child 3 - Gender
*
Child 3 - Date of Birth
*
Child 3 - Current School
*
Child 3 - Grade
Child 3 - Email
Child 3 - Mobile
*
Child 4 - First Name
*
Child 4 - Middle Name
*
Child 4 - Last Name
*
Child 4 - Hebrew Name
*
Child 4 - Gender
*
Child 4 - Date of Birth
*
Child 4 - Current School
*
Child 4 - Grade
Child 4 - Email
Child 4 - Molbie
*
Does anyone in the immediate family have any physical limitations or special needs that the congregation’s programs and facilities might better accommodate:
Please Select One
Yes
No
Types of Needs
Vision
Hearing
Mobility
Disabled
Other
Please describe:
How many Yahrzeits would you like to observe?
Please Select One
None
One yahrzeit
Two yahrzeits
Three yahrzeits
Four yahrzeits
Name of Deceased
Relationship
To whom
Date of Death
mm/dd/yyyy
Name of Deceased
Relationship
To whom
Date of Death
mm/dd/yyyy
Name of Deceased
Relationship
To whom
Date of Death
mm/dd/yyyy
Name of Deceased
Relationship
To whom
Date of Death
mm/dd/yyyy
*
Were you referred to Congregation Beth Israel?
Please Select One
Yes
No
By whom?
How did you hear about Congregation Beth Israel?
Name of previous congregation
City/State
Year you left that congregation
Friends/Family affiliated with Beth Israel
Relationship
Thu, December 5 2024 4 Kislev 5785
