Bar Mitzvah Club Registration

Registration form

Bar Mitzvah Boy:
Boys Last Name

First Name

Hebrew Name

E-mail

Date of Birth:
MM/DD/YYYY

Time (morn. or eve.)

Grade / School

Hebrew School

Parents:
Parents Name

Parents Hebrew Name

Address

E-mail

Home #

Work #

Cell #

  Any conversions in the family

Cost: (payment by check only)
$200 per club member (Includes all sessions, activities and food)

Questions or comments

For information please contact us at
856-438-0607 or email [email protected]