New Member Commitment Form

Commitment Pledge Form

Step 1 of 4

  • Membership Commitment Pledge July 2020 – June 2021 (5780 / 5781)

    This year we are asking everyone, including those who want to continue being a member, to complete and return this form. This will help us update our member list so that you get all the notices, rights and benefits of being a member. Each year, it costs CBH about $53,000 to keep the doors open. Based on 50 member families, that's $1,000 per family if we share it evenly. Some of us might be able to pay more, others a bit less, but we all need to contribute to the best of our abilities. Please choose the membership commitment category below that best fits your family. Thanks you so much, Your CBH Board of Trustees
  • HOUSEHOLD INFORMATION

    ​Please include information for the adults and their dependents​ living at the same address.