Taste of Olam Haba Membership Form

Taste of Olam Haba Membership Form

Membership with Taste of Olam Haba is one of the ways we sustain this collective project of Jewish life — a way of saying, yes, I want to help nurture this space of connection, learning, and belonging.
Full Name*

First NameMiddle NameLast Name
Your Pronouns
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred Method of Contact*

EmailPhoneText Message
Street Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Birthdate*

MonthDayYear
Date
What inspired you to become a member of Taste of Olam Haba at this time?*
Additional Household Member Name #1 and Pronouns
Additional Household Member Name #2 and Pronouns
Additional Household Member Name #3 and Pronouns
Education (for school-aged members) - Grade Level
School(s) (if applicable)
Accessibility Needs (please specify)

Fragrance sensitivityMobility assistanceVisual assistanceProcessing assistanceOther
Please indicate any allergies or specific access needs.
Hebrew Name (The formula for a Hebrew name is your Hebrew name + ben/bat/m'beit + your parents' or ancestral names. For example, Adam m'beit Avraham v'Sarah)
Have you had a Bar/Bat/B'nei Mitzvah?
Yahrzeit Observances (Please list your loved one's name(s), death date, and their relationship to you. If listing a Gregorian date, please indicate the year, and - if you know - if they died before or after sunset)
Sobriety Anniversary
Conversion Anniversary
Ritual Life Skills - Select all that apply

Shmoozing (welcoming and ushering)ChildcareSharing a speech or d'var TorahCookingLeyning (reading Torah)Service leadingPlaying instrumentsSingingHebrew tutoringArtist
Instrument(s) (if applicable)
Additional Skills and/or Occupation
Havurot (Micro-Communities) - I identify with and would like to be connected to:

Elders HavurahLGBTQ HavurahChesed (Service Learning) CrewCrip Jews HavruahJOC HavruahConvert Crew
My Financial Contribution*

Chai Spark — $18/yr ($1.50/mo) For individuals or students with limited income (under $25,000)Welcome Mensch — $36/yr ($3/mo) For those with modest income or fixed budgets (under $35,000)Solidarity Seed — $72/yr ($6/mo) For those with some financial flexibility (around $40,000–$55,000)Shabbat Sustainer — $180/yr ($15/mo) For households with steady income (around $60,000–$75,000)Justice Builder — $360/yr ($30/mo) For households able to give more comfortably (around $80,000–$100,000)Community Mensch — $540/yr ($45/mo) For households with stable income and savings (around $100,000–$125,000)Tzedek Champion — $900/yr ($75/mo) For those with higher income and greater financial security (around $125,000–$175,000)Liberation Partner — $1,800/yr ($150/mo) For households able to make a substantial sustaining gift (around $175,000–$250,000)Guardian of Simcha — $2,700/yr ($225/mo) For households with significant resources (above $250,000)Other
Click here to pay your membership dues.
Financial Contribution: Payment*

I have payed my membership duesNot yet; please send me a reminder
Photo Release Permission*

Yes, I give permission to be photographed or videotaped during activities.No, I do not give permission.
Signal Permission*

Yes, I agree to be apart of the Signal Membership chat.No, I do not want to be added at this time.
Should be Empty: