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Bar Bat Mitzvah Academy sign up

PARENT
Mother Name*

First Name Last Name
Mother Jewish?*

By birthBy choiceneither
Was maternal grandmother born to a Jewish mother?*

Yes- her mother was JewishNo, but yes to a Jewish FatherShe was not born to a Jewish father or Mother
Phone Number*

Area Code Phone Number
E-mail*
Father Name*

First Name Last Name
Father Jewish?*

By birthBy choiceneither
Phone Number*

Area Code Phone Number
E-mail*
SYNAGOGUE AFFILIATION
Child
Full Name

First Name Last Name
Grade entering and school*
Which program are you signing up for?*

Bar Mitzvah AcademyBat Mitzvah Academy
Birth Date*

Month Day Year
TIME OF BIRTH (REQUIRED TO CALCULATE JEWISH BIRTHDAY)*

Before sunsetAfter sunset
MAIN EXPECTATION:*

JEWISH HERITAGEBAR/BAT MITZVAH PREPSOCIAL JEWISH ENVIRONMENTALL
Child cell Phone Number if applicable

Area Code Phone Number
FEE SCHEDULE FOR THE YEAR

$450
A life cycle event form will need to be filled out & returned before your child can be accepted to Bar/Bat Mitzvah Academy.

I agreeI dont agree
Total

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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● Bar Bat Mitzvah Academy sign up

Updates

LOOK OUT FOR OUR SUMMER PROGRAMS!

Upcoming events

Sep. 24, 2023

Kol Nidrei Service

Sep. 25, 2023

Yom Kippur Service