Join Our CBI Community

* Primary Member: First Name

Primary Member: Middle Name

* Primary Member: Last Name

Primary Member: Home Phone

Primary Member: Mobile Phone

Primary Member: Work Phone

* Primary Member: Email Address

* Primary Address 1

Primary Address 2

* Primary Address City

* Primary Address State

* Primary Address Zip Code

Secondary Member: First Name

Secondary Member: Middle Name

Secondary Member: Last Name

Secondary Member: Mobile Phone

Secondary Member: Work Phone

Secondary Member: Email Address

Please list any additional Adults in the Household:

A. Choose your Membership Giving Level - Either Standard or Benefactor

A1. Standard Membership Category

"Friend of CBI" does not include High Holy Day tickets or the ability to sign up for Religious school. If selecting benefactor status, skip to section A2. If requesting scholarship, please choose your standard membership category and request the scholarship application below.

A2. Benefactor Levels - Honors Circle

Includes High Holy Day tickets and Recognition Events

Platinum - Gold Benefits + 2 more Gala Tix (8 total), Free Tix to All CBI Community Events (excluding private events)

Gold - Silver Benefits + Private event with Rabbi Greenwald and Hazan Amy, 2 more Gala Tix (6 total), Full Page Gala Advertisement (instead of ½ Page), 1 HH reserved parking spot, Adult Enrichment Patron Status

Silver - Bronze Benefits + 2 more Gala Tix (4 total), 2 HH Tix for potential prospects (never before members)

Bronze - Copper Benefits + Gala Sponsorship including 2 Tix and ½ Page Gala Advertisement, Free Dinners at Shabbat under the Stars

Copper - Recognition Dinner, Event w/ Clergy, Purim Gift, Gala Journal Recognition. HH Group Aliyah, Recognition in Monthly Tribute E-mails

B. Mandatory Security & Maintenance Fee:

* Category

Please Select One$200 Couple$100 Individual

C. Adult Social Groups

D. Education

After completing this form, please complete the Religious School Information Form, so our team will be prepared for your child(ren) to start school in September. For any questions please contact shoffman@cbi18.org.

Child 1 First Name

Child 1 Last Name

Child 1 Grade

Child 2 First Name

Child 2 Last Name

Child 2 Grade

Child 3 First Name

Child 3 Last Name

Child 3 Grade

Child 4 First Name

Child 4 Last Name

Child 4 Grade

E. Synagogue Youth Groups

After completing this form, please complete the Youth Group Information Form to provide us with more information about your child.

$50 Machar (K-3rd)

$75 Kadima (4th-6th)

$180 USY (7ty-12th)

F. Additional Support

$360 University Park Minyan and other Musical Services

$500 Adult Enrichment Patron

CBI Goes Solar (enter discretionary amount for solar carport and EV chargers)

General Fund (enter discretionary amount for unrestricted funds that can be used to support all areas)

Membership Support Fund (enter discretionary amount for scholarships for members needing financial assistance)

Security Fund (enter discretionary amount for CBI security needs)

Youth Shabbat Programming & Junior Congregation (enter discretionary amount)

CDC Preschool (enter discretionary amount)

G. Act of Kindness

This year I pledge to give my time by:

Serving on a committeeVolunteering in the officeAttending shiva minyanBringing food to older or ill congregantsVolunteering on a social action project

Other ways I'd like to share my skills and passions with CBI:

Comments (optional)