Bar Mitzvah Lessons

Bar Mitzvah Boy Info

Boy's Name*

First NameLast Name

Boy's Hebrew Name*(if known)

Date of Birth*

MonthDayYear

Address*

Family Info

Father's Name*

First NameLast Name

Father Jewish*

YesNo

Father's Cell*

Area CodePhone Number

Father's Email*

Mother's Name*

First NameLast Name

Mother Jewish*

YesNo

Mother's Cell*

Area CodePhone Number

Mother's Email*

Were there any conversions in the family?*

YesNo

If yes explain

Ceremony Info

Bar Mitzvah Date #1*

MonthDayYear

Bar Mitzvah Date #2(if needed)

MonthDayYear

Approximately how many people do you expect to attend?*

Location/Venue of Ceremony:*

Type of service*Check all that apply

Shabbat MorningWeekday Minyan ServiceWeekday Private Service

Comments

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Bar Mitzvah Lessons Registration Form