B'nei Mitzvah Info for The Scroll
Student's Name
First Name
Last Name
What would you like to call your event?
Bar Mitzvah
Bat Mitzvah
B'nei Mitzvah
Other
What pronouns does the student use?
He/Him
She/Her
They/Them
Other
How should the student's relationship to their family be described?
Son of...
Daughter of...
Child of...
Other
Student's current school:
Student's family information (e.g. Mel is the son of Kate Brookman and Max Kaminsky of Brooklyn, NY. He is the youngest brother of Lenny, Irving, and Bernie. He is the grandson of Abraham Kaminsky z"l of Gdansk, Poland.)
Student's hobbies, interests or other bio information:
Student's tikkun olam project:
Please upload a high-res photo of the student.
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Please list how we should recognize the kiddush sponsors. (e.g., Kiddush luncheon is sponsored by Kate & Max Kaminsky in honor of Mel Brooks' bar mitzvah)
Any other comments or questions?
Parent/Guardian #1 (Primary Contact)
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian #2 (Secondary Contact)
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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