B'nai Zion Membership Form

B'nai Zion Membership Form

We cannot wait to welcome you to the BZ family! Please reach out with any questions as you fill out the form (423) 894-8900
Applicant's Name*

First NameLast Name
Applicant's Hebrew Name (If applicable)
Spouse/Partner's Name

First NameLast Name
Spouse/Partner's Hebrew Name (If applicable)
Applicant's Birthdate*

MonthDayYear
Date
Spouse/Partner's Birthdate

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant's Cell Phone*
Please enter a valid phone number.
Spouse/Partner's Cell Phone
Please enter a valid phone number.
Applicant's Email
example@example.com
Spouse/Partner's Email
example@example.com
Wedding Anniversary (if applicable)

MonthDayYear
Date
Children Living at Home
Name of Child 1 Living at Home

First NameLast Name
Hebrew Name (If applicable) - Child 1 Living at Home
Birthday - Child 1 Living at Home

MonthDayYear
Date
Name of Child 2 Living at Home

First NameLast Name
Hebrew Name (If applicable) - Child 2 Living at Home
Birthdate - Child 2 Living at Home

MonthDayYear
Date
Name of Child 3 Living at Home

First NameLast Name
Hebrew Name (if applicable) - Child 3 Living at Home
Birthdate - Child 3 Living at Home

MonthDayYear
Date
Name of Child 4 Living at Home

First NameLast Name
Hebrew Name (if applicable) - Child 4 Living at Home
Birthdate - Child 4 Living at Home

MonthDayYear
Date
Adult Children Living Away from Home
Name of Child 1 Living Away from Home

First NameLast Name
Hebrew Name (if applicable) - Child 1 Living Away from Home
Birthday - Child 1 Living Away from Home

MonthDayYear
Date
Spouse's Name (if applicable) - Child 1 Living Away from Home

First NameLast Name
Name of Child 2 Living Away from Home

First NameLast Name
Hebrew Name (if applicable) - Child 2 Living Away from Home
Birthday - Child 2 Living Away from Home

MonthDayYear
Date
Spouse's Name (if applicable) - Child 2 Living Away from Home

First NameLast Name
Name of Child 3 Living Away from Home

First NameLast Name
Hebrew Name (if applicable) - Child 3 Living Away from Home
Birthday - Child 3 Living Away from Home

MonthDayYear
Date
Spouse's Name (if applicable) - Child 3 Living Away from Home

First NameLast Name
Name of Child 4 Living Away from Home

First NameLast Name
Hebrew Name (if applicable) - Child 4 Living Away from Home
Birthday - Child 4 Living Away from Home

MonthDayYear
Date
Spouse's Name (if applicable) - Child 4 Living Away from Home

First NameLast Name
Yahrzeits

Yahrzeit means "a year's time" in Yiddish. It refers to the anniversary of the death of a close relative. Please fill out if there are important yahrzeits for us to be aware of.
Yahrzeit 1 - English name and, if you know it, Hebrew name.
Yahrzeit 1 - Relationship to you or spouse/partner (i.e. Mother of Joe or Mother of Jane)
Yahrzeit 1 - Date of passing

MonthDayYear
Date
Yahrzeit 1 - For the Hebrew date: Do you know if they passed before or after sundown?
Yahrzeit 2 - English name and, if you know it, Hebrew name.
Yahrzeit 2 - Relationship to you or spouse/partner (i.e. Mother of Joe or Mother of Jane)
Yahrzeit 2 - Date of Passing

MonthDayYear
Date
Yahrzeit 2 - For the Hebrew date: Do you know if they passed before or after sundown?
Yahrzeit 3 - English name and, if you know it, Hebrew name.
Yahrzeit 3 - Relationship to you or spouse/partner (i.e. Mother of Joe or Mother of Jane)
Yahrzeit 3 - Date of Passing

MonthDayYear
Date
Yahrzeit 3 - For the Hebrew date: Do you know if they passed before or after sundown?
Are there other yahrzeits we should be aware of? (Please list details as requested above.)
Getting Involved
What are some ways you would like to get involved? Here is a list to get you started!

Chant Torah or HaftorahLead servicesTeach Hebrew SchoolMarketingTech SupportBuilding and GroundsFundraisingVolunteering in the officeChevra Kadisha (burial society)Holiday program planningMembership CommitteeOther
Membership Agreement
The current dues are listed below. Please note that we recognize that each member's situation is different, and we work with each person/family to determine the right dues on an individual basis.

Nobody will be turned away for lack of funds!

Membership Costs 2025/2026:

Family: $2,440

Individual: $1,550

Student under age 30: $800

Non-Resident Members: $1,220
I wish to pay my dues by:*

Billing my accountAutomatic Payment Plan
Should be Empty:

B'nai Zion Membership Form

Children Living at Home

Adult Children Living Away from Home

Yahrzeits

Getting Involved

Membership Agreement