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Youth Bar Mitzvah Academy

Bar and Bat Mitzvah Academy sign up

The Bar-Bat Mitzvah Academy course commences in September 2024. Classes take place monthly on Sundays at 295 S Locust.

Please note that enrollment in the Bar -Bat Mitzvah Academy is contingent on full participation in the program including classes, trips and the End of Year Ceremony.

Please fill out the form below to begin the application process for your child. Once your child’s enrollment has been accepted, you will receive a yearly calendar of all classes, trips and events.

We look forward to welcoming your daughter and family on this Mitzvah journey.
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 (Includes: Classes, Shabbaton, Trips & Ceremony)

$540
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

City

State / Province

Postal / Zip Code

Country

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