BMC Interest Form

Thank you for reaching out regarding Bat Mitzvah Club for your daughter!

Bat Mitzvah Club for girls in 6-7 grade will run for 9 consecutive weeks.

Please fill out this form and we will contact you when registration for the program opens.
Child Information
Name

First NameLast Name
School
Grade for School Year 2023 - 2024
Day & Time Preferance
Parent Information
Name

First NameLast Name
Cell Phone Number
Please enter a valid phone number.
Email
example@example.com
Comments:
Should be Empty:

Child Information