B'nai Mitzvah Change Request Form

B'nai Mitzvah Change Request Form

Please be patient, this request may take a few weeks to complete. We will be in touch if we need any additional information.
Child's Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date
Parent Name*

First NameLast Name
Parent Email*
example@example.com
Parent Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Town/City*
Please provide the name of the town/city in which you live.
Name of the Elementary School your child attends or will attend*
Name of the Middle School your child attends or will attend*
Current B'nai Mitzvah Date*

MonthDayYear
Date
Reason for change request*
Date(s) or date range you are requesting, please include the year.
Please provide as many dates or date ranges as possible.
Is there anything else you would like to share?
LOCATION PREFERENCE
First choice of location*

Sanctuary (seats 400+; most dates will have two students sharing the bimah)Brody Chapel (seats 160; more intimate setting; only one student, except for siblings)No preference
Second choice of location*

Sanctuary (seats 400+; most dates will have two students sharing the bimah)Brody Chapel (seats 160; more intimate setting; only one student, except for siblings)No preference
2026 Additional Dates Available:

Sunday or Monday, October 11 & 12
2026 Dates NOT Available:

Saturday, September 12
Saturday, October 3
2026 Dates to note:

Saturday, September 19 - the building will not be available for kiddush after the service
Saturday, September 26 - there will be no Chapel services that day
2027 Additional Dates Available:

Sunday, February 7
Monday, July 5
Sunday, October 31
2027 Dates NOT Available:

Saturday, April 24
Saturday, October 2
2027 Dates to note:

Saturday, October 9 - the building will not be available for kiddush after the service
Saturday, October 16 - there will be no Chapel services that day
Saturday, October 23 - there will be no Chapel services that day
2028 Additional Dates Available:

Sunday, February 27
Sunday, June 25
Sunday, November 19
Monday, May 29
Monday, September 4
2028 Dates NOT Available:

Saturday, January 1
Saturday, March 25
Saturday, April 15
Saturday, September 30
2028 Dates to note:

Saturday, March 11 - the building will not be available for kiddush after the service
Saturday, September 23 - the building will not be available for kiddush after the service
Should be Empty: