CNT New Member Application - Form - Congregation Ner Tamid

Thank you for your interest in joining Congregation Ner Tamid of South Bay. To begin your membership application process, please fill out the form below and we will be in touch with you to finalize the membership. The required fields are designated below as required. Feel free to defer the other information if you are unsure of the responses or need more time.

Membership at Congregation Ner Tamid of South Bay
To better serve our community, we offer several types of memberships: family memberships, individual/single-parent memberships, milestone memberships, and, for those outside of the greater Los Angeles area, a virtual membership so that you may participate even from afar!

1st Time Membership Rates
For those who are first-time members, we offer new member rates for both families and individuals. Our new Family memberships are a two-year program, and our Individual membership rates are a one-year program and are as follows:

Family membership year 1: $1,800
Family membership year 2: $3,600
Individual membership year 1: $1,800

Congregation Ner Tamid Full Membership Rates (updated 7-1-25)

Family Membership dues: $4,250
Individual Membership dues: $2,750
Milestone*: $1,800

* Milestone memberships are for those members for whom at least one adult is 83 or older.

* Family Last Name

Required

Head of Household #1

* First Name

Required

* Last Name

Required

Date of Birth

Tribe

Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

Did you have a Bar/Bat Mitzvah?

Please insert the date and/or the Parasha

Would you be interested in having a B'nai Mitzvah aliyah on your Bar/Bat Mitzvah anniversary?

* Email

Mobile Number

Your Occupation

Head of Household #2

First Name

Last Name

(if different from family last name)

Date of Birth

Tribe

Hebrew Name

Father's Hebrew Name

Mother's Hebrew Name

Did you have a Bar/Bat Mitzvah?

Please insert the date and/or the Parasha

Would you be interested in having a B'nai Mitzvah aliyah on your Bar/Bat Mitzvah anniversary?

Mobile Number

Spouse Occupation

Family Information

Marital Status

Date of Marriage:

* Street number and name

Please include Apt. # if applicable
Required

* City

Required

* State

Required

* Zip

Required

How Many Children Do You Have?

Children that are living with you at home (including college students)

Child 1:

First Name:

Last Name:

Date of Birth:

Hebrew Name:

School Grade:

Name of School Enrolled:

B'nai Mitzvah

If your child had a B'nai Mitzvah, when was it?

If you do not remember the date, but remember the year and the parasha, please add that, we can figure out date.

Child 2:

First Name:

Last Name:

Date of Birth:

Hebrew Name:

School Grade:

Name of School Enrolled:

B'nai Mitzvah

If your child had a B'nai Mitzvah, when was it?

If you do not remember the date, but remember the year and the parasha, please add that, we can figure out date.

Child 3:

First Name:

Last Name:

Date of Birth:

Hebrew Name:

School Grade:

Name of School Enrolled:

B'nai Mitzvah

If your child had a B'nai Mitzvah, when was it?

If you do not remember the date, but remember the year and the parasha, please add that, we can figure out date.

Child 4:

First Name:

Last Name:

Date of Birth:

Hebrew Name:

School Grade:

Name of School Enrolled:

B'nai Mitzvah

If your child had a B'nai Mitzvah, when was it?

If you do not remember the date, but remember the year and the parasha, please add that, we can figure out date.

Community Information

Did you belong to another synagogue? If yes, what was the name?

City + State of previous synagogue

or if outside of USA, please give us the name of the city + country

Reason for leaving previous synagogue

Requesting Special Considerations / Financial Assistance

By checking this box, you are requesting Special Considerations. Once you have submitted your application form, our Executive Director will contact you.

Thank you for filling out the Membership Application and welcome to Congregation Ner Tamid.

One of our staff members will be reaching out to you soon.