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Bar/Bat Mitzvah Club

BMC Registration Form - Boys

Register here

BMC Registration Form:
SEVEN SUNDAY SESSIONS

Dec 7 | Jan 11 | Mar 1 | Mar 15 | Mar 29 | April 19 | May 3
Bar Mitzvah Boy Info:
Full Name*
First Name Hebrew Name Last Name
Age*
Grade
School*
Previous Jewish Education*
Birth Date* This will help us accurately calculate her Jewish birthday

Month Day Year
at Hour Minutes
His E-mail If applicable
His Cell Number If applicable

Area Code Phone Number
Allergies For food allergies please elaborate
Parent Information:
Father*
First Name Hebrew Name Last Name
Contact Cell Number*

Area Code Phone Number
Contact E-mail
Mother*
First Name Hebrew Name Last Name
Contact Cell Number*

Area Code Phone Number
Contact E-mail*
I would like to receive news and updates by email
Are the birth parents of your son Jewish?*

FatherMotherBoth
Previous Family Conversion/Adoption* If yes, please explain
Total Fee*

$200
I would like help sponsor a session

$72$180$360
Total

$0.00

Payment*

Credit Card Cash/Check

Postal / Zip Code

Country

Comments/Questions
For additional information & tutoring options email [email protected]
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