BMC 2024 Registration

Bat Mitzvah Club is a community program where the girls will create lasting friendships with other girls from the community. As this is a community program there are a limited amount of spots per school.

At this time we are at our capacity for Shulamit. If your daughter attends Shulamit click here to put her on the waitlist.

If you have any questions feel free to WhatsApp Chabad for the fastest response: 516-295-2479

Child Name*

First NameLast Name

Birth Date*

Date

School*

Grade for 2024 - 2025*

Were there any conversions or adoptions in the family?

YesNo

Who?

If there was a conversion - who was the Rabbi?

Shul / Synagogue affiliated with:*

Bat Mitzvah Party Date:*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Father Name*

First NameLast Name

Father Cell Number*

Please enter a valid phone number.

Mother Name*

Mother Cell Number*

Please enter a valid phone number.

All BMC updates are sent via WhatsApp*

I have added Hadassah Geisinsky 516-458-3694 to my contacts

Does your daughter have any allergies or medical conditions we should be award of? If yes, please describe them and indicate special precautions or care needed:*

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad 5 Towns to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad 5 Towns personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in all activities and that these pictures may be used for marketing purposes.*

I Accept

I heard about this program from:*

BMC Registration Payment *

BMC Chabad Member Registration

$250.00

BMC Community Member Registration

$300.00

Enter coupon

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Parent Information