Membership Application

Welcome to the Agudas Achim family! Your participation and active involvement is the most valuable asset to us as we hope it will become for you as well.

MEMBER FAMILY INFORMATION

* Is there more than one Adult on the membership account?

PRIMARY MEMBER INFORMATION

* First Name

* Last Name

Hebrew Name

* Email Address

Mobile Phone

Date of Birth

Tribe

* Gender

Occupation

Name of Business

Business Phone

Conversion Date

(if applicable)

Conversion Rabbi

(if applicable)

Military

Branch

Marital Status

Anniversary Date

Your involvement is welcomed in all areas of synagogue life. Please indicate your interest below:

Please list any other skills, experiences, areas of interest or training that may be beneficial to our synagogue:

SECONDARY MEMBER INFORMATION

* First Name

* Last Name

Hebrew Name

Email Address

Mobile Phone

Date of Birth

Tribe

Gender

Occupation

Name of Business

Business Phone

Conversion Date (if applicable)

Conversion Rabbi (if applicable)

Military

Branch

Your involvement is welcomed in all areas of synagogue life. Please indicate your interest below:

Please list any other skills, experiences, areas of interest or training that may be beneficial to our synagogue:

HOME AND ADDRESS INFORMATION

* Address

* City

* State

* Zip

Home Phone

ADDITIONAL INFORMATION

Number of years in San Antonio:

Came to San Antonio from:

Previous/Current Synagogue Affiliation (Name/City)

Family or Friends affiliated with Congregation Agudas Achim (Name/Relationship)

In case of emergency or death, please contact (Name/Relationship/Phone)

CHILDREN INFORMATION

How many children are in your family?

* Child 1 First Name

* Child 1 Last Name

Nickname

Hebrew Name

written in English if known

* Gender

Date of Birth

Bar/Bat Mitzvah Date

Grade

School/Occupation

Address/City/State/Zip

if not living with you

* Child 2 First Name

* Child 2 Last Name

Nickname

Hebrew Name

written in English if known

* Gender

Date of Birth

Bar/Bat Mitzvah Date

Grade

School/Occupation

Address/City/State/Zip

if not living with you

* Child 3 First Name

* Child 3 Last Name

Nickname

Hebrew Name

written in English if known

* Gender

Date of Birth

Bar/Bat Mitzvah Date

Grade

School/Occupation

Address/City/State/Zip

if not living with you

* Child 4 First Name

* Child 4 Last Name

Child 4 Nickname

Hebrew Name

written in English if known

* Gender

Date of Birth

Bar/Bat Mitzvah Date

Grade

School/Occupation

Address/City/State/Zip

if not living with you

YAHRZEIT INFORMATION

How many yahrzeits are you observing?

Deceased's Full Name

Hebrew Name

Written in English if Known

Date of Death

After Sundown?

YesNo

Gender of Deceased

MaleFemale

Observer

Relationship

Deceased's Full Name

Hebrew Name

Written in English if Known

Date of Death

After Sundown?

YesNo

Gender of Deceased

MaleFemale

Observer

Relationship

Deceased's Full Name

Hebrew Name

Written in English if Known

Date of Death

After Sundown?

YesNo

Gender of Deceased

MaleFemale

Observer

Relationship

Deceased's Full Name

Hebrew Name

Written in English if Known

Date of Death

After Sundown?

YesNo

Gender of Deceased

MaleFemale

Observer

Relationship

Do you own a cemetery plot?

Location

DUES AND FEES

The annual commitment to Congregation Agudas Achim includes Synagogue membership for the member, his/her spouse and children, High Holy Day tickets, eligibility to enroll one’s children in our Inda Posner Religious School (fees are additional), a discounted rate at our Heintz Preschool and a discounted rate on the purchase of cemetery plots in our Memorial Gardens Cemetery.

Congregation Agudas Achim’s fiscal year is from January—December. All completed membership applications are submitted to the Board of Trustees for final approval. Board approval must be obtained before membership is finalized.

Annual Membership Dues | The Annual Membership Dues structure at Congregation Agudas Achim is a flat rate based on age and member household. Congregation Agudas Achim welcomes commitments at an enhanced level. Provisions for dues adjustment and relief will be considered in a strictly confidential manner by the Dues and Accounts Review Committee. Every member of our Congregation is asked to reassess their commitment annually.

Choose your membership category below for your monthly dues rate.

Do you qualify for Dual Membership?

Please Select OneNoYes

Twenty five percent (25%) of CAA’s appropriate category rate if Dual Membership is with another San Antonio congregation

Upon verification, 25% off of CAA's appropriate category if Dual Membership is with another San Antonio congregation.

Choose Your Membership Household Type

Please Select OneIndividual MembershipHousehold MembershipAssociate Membership

Your Dues Rate for an Associate Membership is $36/month.

Your Dues/Fees Rate for an Individual Membership, aged 28 or younger is $45/month.

Your Dues/Fees Rate for an Individual Membership, aged 29 is $50/month.

Your Dues/Fees Rate for an Individual Membership, aged 30 is $55/month.

Your Dues/Fees Rate for an Individual Membership, aged 31 is $60/month.

Your Dues/Fees Rate for an Individual Membership, aged 32 is $65/month.

Your Dues/Fees Rate for an Individual Membership, aged 33 is $70/month.

Your Dues/Fees Rate for an Individual Membership, aged 34 is $75/month.

Your Dues/Fees Rate for an Individual Membership, aged 35-74 is $177/month.

Your Dues/Fees Rate for an Individual Membership, aged 75+ is $112/month.

Your Dues/Fees Rate for a Household Membership, aged 28 or younger is $65/month.

Your Dues/Fees Rate for a Household Membership, aged 29 is $70/month.

Your Dues/Fees Rate for a Household Membership, aged 30 is $80/month.

Your Dues/Fees Rate for a Household Membership, aged 31 is $90/month.

Your Dues/Fees Rate for a Household Membership, aged 32 is $100/month.

Your Dues/Fees Rate for a Household Membership, aged 33 is $105/month.

Your Dues/Fees Rate for a Household Membership, aged 34 is $115/month.

Your Dues/Fees Rate for a Household Membership, aged 35-74 is $260/month.

Your Dues/Fees Rate for a Household Membership, aged 75+ is $177/month.

Please Select One I agree to pay these feesI will need to speak with someone about financial assistance

I agree to be enrolled in auto pay for monthly dues and fees and have my payment method on file charged monthly.

I want to join Congregation Agudas Achim Sisterhood ($36/annually)

I want to join Congregation Agudas Achim Mens Club ($36/annually)

ADDITIONAL MEMBERSHIP FEES
The monthly membership cost includes the cost of fees, which include the
Maintenance Fee, the Security Fee, and the Torah Restoration Fee

* I agree to the above fees.

I agree to the above fees.

ENHANCED GIVING SOCIETY (ENHANCED DUES)

Contributing more than the standard amount is a form of tzedakah, fulfilling our obligation to give to worthy causes. What more worthy than funding our communal Jewish needs, such as outreach programs, education, and supporting those who are financially unable to be members without assistance. If your means allow, please join the many members of our congregation and consider increasing your financial support by being an enhanced giver.

Enhanced Dues Levels and Benefits
Level	Monthly Above Standard	High Holiday Parking	Legacy Lunch Sponsorship	TX BBQ Sponsorship	Oneg Sponsor	Kiddush Sponsor
Chai	$18
Double Chai	$36
Mensch	$50
Mensch Plus	$100	1	2 tickets	2 tickets	X	X
Contributor	$150	1	2 tickets	2 tickets	X	X
Sustainer	$300	1	Copper	Copper	X	X
Benefactor	$600	2	Silver	Bean	X	X
Builder	$1,050	2	Gold	Fish	X	X
Supporter	$1,500	2	Platinum	Chicken	X	X
Tzadik	$3,000	2	Diamond	Main Stage	X	X

Congregation Agudas Achim - Membership Application

Membership Application