Welcome to Congregation Beth Israel (CBI). We are delighted you have chosen to become part of this community. Please feel free to call upon the clergy, staff, and lay leaders whenever we can help enrich your experience as part of the CBI family.

Adult 1:

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Adult 2:

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Special Accommodations Needed (mobility concerns, physical limitation). If yes, please describe your needs:

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Please list any relatives who are affiliated with CBI:

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Mailing & Contact Information

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Adult 1

Adult 2

Religious Background

Adult 1

Adult 2

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Children

Child 1:

Child 2:

Child 3:

If you have more than three children, please let us know so we can collect their information. 

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Emergency Contact

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Yahrzeits

The names of your deceased loved ones can be read in services the Shabbat before the Yahrzeit date (the anniversary of death). 

If you have more yahrzeits to observe, please let us know.

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Member Interests

CBI is an active community and there are many ways to get involved! Tell us more about your interests below: (Please use Column 1 for Adult 1 and Column 2 for Adult 2)

Please use this space to tell us more about your interests and talents:

One way CBI helps congregants get connected is by including a short biography of new members in our weekly e-announcements. If you would like to be included in this, please use this space below to share your story (e.g. reason for moving to Charlottesville area, career, hometown, what you look forward to participating in at CBI...).

I/we wish to participate in Congregation Beth Israel, making a personal and financial commitment to the support and continuation of this community. 

After submitting this form, you may go back to our Membership page and complete the Financial  Support Commitment.

*** If, instead of paying in full at this time, you would like to *set up a payment plan* please wait until your New Member Information has been received, and you've received notification that your member account has been created.

Please contact Raya at office@cbicville.org or 434-295-6382 if you have questions or need help with this process. 

Be sure to click SUBMIT at the bottom when you have completed this form.