Bar Mitzvah Application

Bar Mitzvah Registration

According to Jewish tradition, a Bar Mitzvah reflects a major turning point in the life of a Jewish boy and as such, we believe very strongly that every young man should celebrate this milestone in a meaningful and traditional manner. We are proud to present you a variety of options to personalize your service and make this day, one to remember for years to come. Complete the following form to receive our Bar Mitzvah packet containing options of classes and ceremonies.
Name of Bar Mitzvah Boy *

First Name Last Name
Father's Name *

First Name Last Name
Mother's Name *

First Name Last Name
Is the Mom Jewish? *

Yes by birth Yes by adoption Yes by conversion No
Is the maternal grandmother Jewish? *

Yes by birth Yes by adoption Yes by conversion No
Parent E-mail *
Parent Phone Number: *

Area Code Phone Number
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Bar Mitzvah Boy Birth Date:

Month Day Year
Preferred Bar Mitzvah Ceremony Date: *

Month Day Year
Date
Approximately how many guests: *
I would be interested in: (click all that apply) *

Tefillin, Intro and Practice Bar Mitzvah Ceremony, Speech prep Bar Mitzvah Reception Refereshments Torah Blessings Reading practice Bar Mitzvah private classes (including crash course on Jewish life, Biblical heroes, Jewish Life Cycles, In depth Bat Mitzvah Parsha learning,) Mitzvah Project and Implementation Hebrew Reading practice
Once you submit your application, we will contact you shortly and send over our Bar Mitzvah Parent Packet.
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Bar Mitzvah Registration