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Programs Kids & Teens Bar & Bat Mitzvah

Bar & Bat Mitzvah Registration

Prior to registration we require an initial meeting to discuss what type of ceremony is best for you and your child.

To setup an initial meeting contact us at
407-636-5994

[email protected]
[email protected]

For FAQ on Bar or Bat Mitvzah information click here.
Parent's Information
Father's Full Name*
First Name Last Name
Father's Hebrew Name
Father's Phone Number

Area Code Phone Number
Father's E-mail
Mother's Full Name*
First Name Last Name
Mother's Hebrew Name
Mothers Phone Number

Area Code Phone Number
Mother's E-mail
Are both the natural father and mother of the child Jewish?*

YesNo
If no, please explain*
Are there any conversions in the family? *

YesNo
If yes, please explain*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Other Comments & Details
Student Profile
Full Name*
First Name Last Name
Hebrew Name*
Date of Bar/Bat Mitzvah Requested*

Month Day Year
Date of Birth*

Month Day Year
Current School*
Grade Entering*
Hebrew Reading Proficiency*

NoneSomewhatWell
Previous Jewish Education*

YesNo
Where?
Payment
This fee is for the Bar/Bat Mitzvah service. Kiddush sponsorship and lessons are charged separately.
Please be in touch with Rabbi and Chanshy to arrange for classes and find out class fees.
Payment Options*
Total

$0.00

Payment

Credit Card Paypal

Postal / Zip Code

Country

Should be Empty:

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More in this section

Initial Bat Mitzvah Form

Bar & Bat Mitzvah FAQ