Membership information



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MEMBERSHIP INFORMATION







499 Boothbay, Foster City, CA 94404

650-349-2816 www.peninsulasinai.org




On this Date , I/We hereby apply for membership in Peninsula Sinai Congregation.

Name(s) to use on mailing labels:


Home Street Address: ____________________________________________________

City: State: Zip:

Home Phone: ( )

Membership Information

Adult #1

Full Name:

Nickname: _________________________

Email address: ___________________________________________________________

Jewish? ☐ Yes ☐ No (see note below) Gender:________________________

Hebrew Name: (transliterated, e.g. “Zalman, son of Shmuel & Sarah” or “Sarah, daughter of Jacob & Leah”)

__________________

Occupation:

Work Phone: ( )______________________ Cell Phone: ( ) ______________________

Birth Date: ______________________

Marital status (optional): Anniversary Date (if applicable):





Adult #2

Full Name:

Nickname: _________________________

Email address: ___________________________________________________________

Jewish? ☐ Yes ☐ No (see note below) Gender:________________________

Hebrew Name: (transliterated, e.g. “Zalman, son of Shmuel & Sarah” or “Sarah, daughter of Jacob & Leah”)

__________________

Occupation:

Work Phone: ( )______________________ Cell Phone: ( ) ______________________

Birth Date: ______________________

Marital status (optional): Anniversary Date (if applicable):


Note: Non-Jewish partners are welcome and encouraged to participate in the life of our community. If you have questions or concerns in this area, please talk with our Rabbi.






Child #1

First Name: School: Grade:___

Last Name: Birth Date: Gender: __________ Jewish? ☐ Yes ☐ No Interested in enrolling in PSC Religious School? ☐ Yes ☐ No

Address, if different from yours:

Phone, if different from yours: ( ) __________________ Email address: _____

Cell Phone (if applicable): ( ) ______ Date of Bar/Bat Mitzvah, if applicable____________

If this child is an adult (over 21) and is interested in becoming a Member in his/her own right, check here____





Child #2

First Name: School: Grade:___

Last Name: Birth Date: Gender: __________ Jewish? ☐ Yes ☐ No Interested in enrolling in PSC Religious School? ☐ Yes ☐ No

Address, if different from yours:

Phone, if different from yours: ( ) __________________ Email address: _____

Cell Phone (if applicable): ( ) ______ Date of Bar/Bat Mitzvah, if applicable____________

If this child is an adult (over 21) and is interested in becoming a Member in his/her own right, check here____







Child #3

First Name: School: Grade:___

Last Name: Birth Date: Gender: __________ Jewish? ☐ Yes ☐ No Interested in enrolling in PSC Religious School? ☐ Yes ☐ No

Address, if different from yours:

Phone, if different from yours: ( ) __________________ Email address: _____

Cell Phone (if applicable): ( ) ______ Date of Bar/Bat Mitzvah, if applicable____________

If this child is an adult (over 21) and is interested in becoming a Member in his/her own right, check here____





Child #4

First Name: School: Grade:___

Last Name: Birth Date: Gender: __________ Jewish? ☐ Yes ☐ No Interested in enrolling in PSC Religious School? ☐ Yes ☐ No

Address, if different from yours:

Phone, if different from yours: ( ) __________________ Email address: _____

Cell Phone (if applicable): ( ) ______ Date of Bar/Bat Mitzvah, if applicable____________

If this child is an adult (over 21) and is interested in becoming a Member in his/her own right, check here____


Note: Names, addresses, phone numbers, and children’s names and ages will be included on our community list. If you do not want any of these items to be listed, please let us know.



How did you learn about Peninsula Sinai Congregation?





__________________________________________________________________________________________



Skills & Experiences (adults and children)
(Name)

(Name)

(Name)

Previous Jewish education

(Hebrew school, day school, high school, college)









Reading Torah / Haftarah *

(Please list portion(s) that you already know)









Artistic skills

(e.g., singing, musical instruments, arts/crafts, etc.)









Special skills

(e.g., graphic design, web design, landscaping, etc.)









Other











*May we contact you to read Torah? ☐ Yes ☐ No

Synagogue Team Interests

(Please indicate which person is interested in each interest you select):


__ Adult Education

__ PS Women

__ Bikur Cholim (visiting the sick)

__ Religious Practices

__ Building and Grounds

__ Religious School/Youth Education

__ Chesed V’Tzedek (acts of loving kindness)

__ Security

__ Environment

__ Technology

__ Finance

__ Teen Activities

__ Israel

__ Tikkun Olam (Social Action)

__ Membership

__ Ways & Means

__ Men’s Club

__ Young Family Programming

__ Outreach





PS Women and Men’s Club

*** Membership in Peninsula Sinai Women (PSW) and the PSC Men’s Club is now included with your PSC membership. You will be automatically enrolled at no additional cost. If you would like more details, please contact the PSC office.



Yahrzeit Information (If you would like to be reminded of the anniversary of the death of a loved one):




Name of deceased
Related to whom?

Relationship

English Date of death

Died before

Sundown? *

Hebrew name (transliterated, e.g. “Shmuel son of Avi and Dinah”)























































*Note: The time of death (before or after sundown) is needed to determine the date of death on the Jewish calendar.
There are many ways to honor your loved ones. Are you interested in discussing:

__ Memorial plaque with Yahrzeit light

__ Donation in honor of loved one

__ Donation directed to a loved one’s particular interest (i.e. school, synagogue, adult education, etc.)

__ Naming a part of the synagogue in their honor

__ Other


PSC’s Flexible Financial Commitment:

What You Need to Know to Make Your Pledge

In May 2016, our congregation overwhelmingly (more than 90% in favor) voted to adopt our new “flexible commitment model.” This change moves us one step closer toward making PSC a derech, a pathway for making Judaism and Jewish identity a meaningful and spiritually fulfilling part of people’s lives, celebrating and holding sacred the idea that everyone is on a journey, at their own pace and toward their own destination.  


What’s different

Under this new model, you decide on your level of financial support for PSC. The amount is self- determined, and regardless of the amount, membership is not affected. You’re a member if you want to be, regardless of how much you contribute.

This financial commitment replaces membership dues, building fees, educational tuition and fees, annual High Holyday pledges, and more (though of course you’re always free to make donations any time you like, perhaps in honor of a special occasion, yahrzeit or “just because”).
We’ve done the math

You’ll see the “sustaining amount”—the average cost per household of keeping PSC functioning.


Be supportive and generous

We urge you to be as generous as you can, keeping in mind that some of our members don’t have the means to pay the “sustaining” amount, and therefore, we need other members to contribute more.



Next steps

As a new Member, please make your commitment now by completing this “Financial Commitment” form, sign it electronically and return it to us. Or if you have questions, you can call me or the office at any time.


Thank you for your continued support of our wonderful PSC community!

Ron Mester

President

Cell: 650-544-6961

Email: president@peninsulasinai.org


Financial Commitment Form

for Fiscal Year: June 1, 2016 thru May 31, 2017

The financial support of each PSC member is critical to our community. We appreciate you giving as much as you can.

☐ YES, I/we pledge to contribute the amount indicated below to Peninsula Sinai for its fiscal year (June 1, 2016 thru May 31, 2017). I/We understand that the amount we pledge here has no bearing on my/our membership status, and REPLACES what used to be referred to as membership dues, building fees, annual High Holyday pledges, and religious school tuition and fees.


—Please check one of the following boxes—

☐ $12,600 (7 Chai’s x 100)

☐ $9,000 (5 Chai’s x 100)

☐ $5,400 (triple Chai x 100)

☐ $3,600 (double Chai x 100)

☐ $2,867 (the “sustaining” amount*)

☐ $__________ (your choice; fill in the amount you are pledging)


Please turn page over, continued on other side



* The “sustaining” amount is the average amount needed from each of PSC’s current 260 member households to fully pay the $745,490 in budgeted expenses that our congregation approved for fiscal year 2016/17. Please consider paying more than the “sustaining” amount to cover shortages from congregants who don’t have the means to pay this amount. The money you give enables PSC to continue providing religious services, community programs, and a wonderful education to children and adults, to support our fantastic Rabbi, Cantor/Educator, Office Manager and other staff, and to maintain our facilities for learning, praying, and schmoozing.
Please tell us when you’ll pay your above pledge amount, and we’ll bill you accordingly. I’ll/we’ll pay:

☐ the entire pledge amount upfront (this really helps our shul!)

☐ 50% this month; 50% in three months 2016

☐ equal monthly payments starting this month through May 2017




What are my payment options? You may pay by:

  • Check: When you receive your statement(s) in the mail, send a paper check

  • Credit card: We accept this payment method for your convenience, but please note that PSC is charged a transaction fee (about 3%) for each credit card payment. Please let us know below if you can help us cover this cost.

☐ Yes, I/we would be happy to add an additional 3% to my credit card payment to defray card processing fees

☐ No, just charge exactly the amount I/we pledged on the reverse side of this form.
For your convenience, we can charge your credit card according to your designated payment plan. Please include your details below:

Name on Card:

Expiry Date:

Credit Card #:

CVV Code:




  • PayPal: Send your contribution to webmaster@peninsulasinai.org from your PayPal account, or go via our website www.peninsulasinai.org, and click on the link “Flexible Commitment” (under Members’ Area)

Please sign and date below – this confirms that you are a member in good standing
Signature: __________________________________ Date: ________________

Printed name: ___________________________________


— Please sign and submit this form to PSC —

(Peninsula Sinai Congregation, 499 Boothbay Avenue, Foster City, CA 94404






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