Membership Application

We are delighted to have you join our VBS community. As a member, you are a stakeholder in, and builder of, our community and your partnership is imperative to the success and vibrancy of VBS. To join us for 2023-2024, please complete the membership commitment form below. If you have any questions or concerns, please contact the Membership Department at 818-530-4015.

Membership dues are tax deductible to the full extent allowable by law.
Once paid, dues are non-refundable.

Person 1

Title

First Name

Last Name

Hebrew Name

Maiden Name

Date of Birth

Email

Mobile

Gender

Occupation

Company Name

Ancestry / Yahrzeits and Dates Please list your immediate family members whose Yahrzeit date (anniversary of death) you would like us to remember.
Name • Relationship • Secular Date (before sundown)

Person 2

Title

First Name

Last Name

Hebrew Name

Maiden Name

Date of Birth

Email

Mobile

Gender

Occupation

Company Name

Marital Status

Relationship Status

Wedding Anniversary (If Applicable)

Mailing Address

Address

Apt/Unit #

City

State

Zip

Home Phone (if applicable)

Child Information

Do you have children?

How many children do you have?

Child 1: First Name

Child 1: Last Name

Child 1: DOB

Child 1: Gender

Child 1: School Name

Child 1: Summer Camp

Child 2: First Name

Child 2: Last Name

Child 2: DOB

Child 2: Gender

Child 2: School Name

Child 2: Summer Camp

Child 3: First Name

Child 3: Last Name

Child 3: DOB

Child 3: Gender

Child 3: School Name

Child 3: Summer Camp

Child 4: First Name

Child 4: Last Name

Child 4: DOB

Child 4: Gender

Child 4: School Name

Child 4: Summer Camp

Your Connections

Member 1

Member 2

Previous Congregational Affiliation

Other organization affiliations

List any friends or relatives who are members of VBS and their relationship to you.

Do you have a relationship with any of our clergy members?

If yes, which clergy members?

Please list your emergency contacts in the event that there is an emergency, due to illness or any other reasons.

Emergency Contact 1 Name

Emergency Contact 1 Phone

Relationship to Emergency Contact 1

Emergency Contact 2 Name

Emergency Contact 2 Phone

Relationship to Emergency Contact 2

How did you find us?

We want to hear from you! Is there anything you would like us to know about your membership at VBS?

MEMBERSHIP CATEGORIES & FEES 2023-2024

* Membership Type
Family memberships include 2 High Holiday tickets.
Single memberships include 1 High Holiday ticket.

Synagogue Membership

Select the age category of eldest adult in the membership year:

VBS Fusion Membership

Young Adults in their 20s- 35; no children in any VBS school.

Young Adults in their 20s- 35; no children in any VBS school

Senior Membership

Senior (75+)

Newlyweds Membership

First year only; Married by a VBS Rabbi; Or if you are the child of a current VBS member and have not been married previously.

Jew By Choice Membership

First year only; conversion to Judaism within the present year.

The following categories do not include voting, religious school or B’nai Mitzvah:

Associate Membership

Supporters of VBS. Not required to pay Building Fund or Security Fees.

Dual Membership
Deducts 40% off membership fees. Eligible for families that are dues-paying members of another synagogue comparable to Valley Beth Shalom and register their children in the VBS Day School or ECC. Your other synagogue will be required to complete the Membership Confirmation Request Form. For more information please contact Maya Aharon, Membership Engagement Director, at maharon@vbs.org or by phone at 818.530.4008.

MANDATORY FEES

Not applicable to Newlyweds, Jews By Choice or Associate Memberships.

Building Fund - Family Membership
$350 yearly for 10 years ($3,500 total)Paid for the first 10 years of membership; Supports the upkeep of our facilities.

Building Fund -
$175 yearly for 10 years ($1,750 total)Paid for the first 10 years of membership; Supports the upkeep of our facilities.

Security Fees - Family Membership
$610Paid each year, Security Fees maintain the safety of our campus.

Security Fees - Single Membership
$490Paid each year, Security Fees maintain the safety of our campus.

Security Fees - Fusion Family Membership
$350Paid each year, Security Fees maintain the safety of our campus.

Security Fees - Fusion Single Membership
$275Paid each year, Security Fees maintain the safety of our campus.

VBS Premier

Join the VBS Premier program to help us ensure that we never turn anyone away due to financial concerns. Your support is instrumental in helping to provide synagogue membership and Jewish education to everyone who deserves to be a part of the VBS family.
VBS Premier Benefits for 2023-2024 include:

Concierge Membership Renewal Process

Reserved High Holiday seating

Valet parking for High Holidays

Sisterhood, Brotherhood, Hazak & Youth Department membership(s) by request

Recognition as a Premier member

VBS Premier PLUS+ ($2,500)

Benefits include all the benefits listed above, PLUS:

Private event with VBS Clergy

$150 Gift Certificate to LA|KOSHER towards a "Holiday To-Go" meal (Rosh Hashanah, Thanksgiving or Passover)

Recognition as one of our most generous donors

Learn more at vbs.org/premier

Youth Department Membership

Grades K-12: Year-Round Social Programming Including USY - $100 per family

Child 1 Name

Child 1 Grade

Child 2 Name

Child 2 Grade

Child 3 Name

Child 3 Grade

Child 4 Name

Child 4 Grade

Teen Tuesday (Post B’nai Mitzvah age programming) - $700 per child

Child 1 Name

Child 1 Grade

Child 2 Name

Child 2 Grade

Child 3 Name

Child 3 Grade

Child 4 Name

Child 4 Grade

Sisterhood Membership
A place for women of all ages and stages to connect and socialize

Sisterhood Membership - $45 per member

Sisterhood Membership - $45 per memberPlease note that monies are sent from VBS to National Organizations. Once submitted, these fees are non-refundable.

Brotherhood (Men's Club) Membership
Community-based activities for men

Brotherhood (Men's Club) Membership - $40 per member

Brotherhood (Men's Club) Membership - $40 per memberPlease note that monies are sent from VBS to National Organizations. Once submitted, these fees are non-refundable.

Hazak Membership
A Jewish community of seniors dedicated to lifelong education and enrichment

Hazak Membership - $36 per member

Name of Hazak Member(s)

Mercaz
Mercaz works to increase the impact and influence of Conservative/Masorti Judaism on Israeli Society, encourages religious pluralism and secures funding for Masorti Movement programs.

Mercaz - $50 individual/$75 couple

Please note that monies are sent from VBS to National Organizations. Once submitted, these fees are non-refundable.

New Year's Greeting
Send High Holiday greetings to the VBS community

New Year's Greetings - $36 per family

Scroll of Remembrance
Memorialize your loved ones in our Yizkor Book

Scroll of Remembrance - $36 per name

Name to remember

Statement Mailing Preference

Please indicate if you would like to receive future financial statements from us via email or mail.

PaperEmail

Total Due:

A processing fee of 3.25% will be assessed for all payments made by credit card. Payments made by ACH/eCheck do NOT incur any additional fees.

Clicking SUBMIT below, will confirm your payment amount and give you an opportunity to choose your payment method and number of payment installments in which you'd like to pay.

Thank you!

Membership Application

We welcome you to join our VBS community!

Person 1

Person 2

Marital Status

Mailing Address

Child Information

Child 1: First Name

Child 1: Last Name

Child 1: DOB

Child 1: Gender

Child 1: School Name

Child 1: Summer Camp

Child 2: First Name

Child 2: Last Name

Child 2: DOB

Child 2: Gender

Child 2: School Name

Child 2: Summer Camp

Child 3: First Name

Child 3: Last Name

Child 3: DOB

Child 3: Gender

Child 3: School Name

Child 3: Summer Camp

Child 4: First Name

Child 4: Last Name

Child 4: DOB

Child 4: Gender

Child 4: School Name

Child 4: Summer Camp

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