B-Mitzvah Registration September 2023-May 2025

B-Mitzvah Registration September 2023-May 2025

Please fill in the form below. We will be in touch soon to confirm your registration and finalize payment. We look forward to learning with you!
Student's Name*

First NameLast Name
Preferred Gender Pronouns
Student's Date of Birth*

MonthDayYear
Student's Age*
Student's Grade*
Adult 1: Name*

First NameLast Name
Preferred Gender Pronouns
Adult 1: Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Adult 1: Phone*

Area CodePhone Number
Adult 1: E-mail*
Adult 2: Name

First NameLast Name
Preferred Gender Pronouns
Adult 2: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Adult 2: Phone

Area CodePhone Number
Adult 2: E-mail
example@example.com
If adult(s) are not student's parent(s), please explain relationship. (For example, grandparent)
Do any of the adults attending family learning have accessibility or accommodation needs?
Learning needs and preferences

Below are questions regarding your child’s learning needs and preferences. Our goal in requesting these details is to be the best partners that we can be in supporting your child and family.
Please describe the student as a learner*
Please describe supports and strategies that have helped your child thrive in social and academic settings.*
If your child has an IEP or learning profile, are there components of the support plan that you would like us to implement?
Is there anything else you would like us to know about your child or your family?
Did the B-Mitzvah student attend Growing Together? If Yes, for how many grades?
Has your family attended Jewish Gateways events in the past? If yes, please describe.
Does the B-Mitzvah student plan to include Hebrew as part of their program?
Medical information
Please list any ALLERGIES (food, environmental) your child has.
Please list any MEDICAL NEEDS your child has.
Please provide the name, relationship, and phone number for an EMERGENCY CONTACT*
Physician Name
Physician Phone Number
Yes
Yes
Yes
Are there other needs or concerns you would like us to be aware of?
Yes
Tuition Information

Your registration will be complete once we receive a deposit of $100 or the full tuition payment.
- Each student $3000
- Register before July 14th for the Early Bird $100 discount!
- $100 discount on tuition if you refer a new family that enrolls in the Open Tent B-Mitzvah Program
Paying in fullInstallments
YesNo
Help other families join Growing Together

Ensuring access to Growing Together's programs is crucial for fostering an inclusive, equitable, and welcoming community. Our financial assistance program plays a pivotal role in enabling families from diverse socio-economic backgrounds and circumstances to actively engage in our programs. We kindly request you to consider making a generous contribution today, empowering another family with the opportunity to become part of the Growing Together community.
$50$100$150$200$500$1000$1500$2000Other_________
Pay online here (Please indicate in the drop-down menu that your payment is for Growing Together.)

OR

Send a check to Jewish Gateways, 1164 Solano Ave. #147, Albany, CA 94706.
Do you have questions? Rabbi Stephanie welcomes your email or your call at 510-859-7866.

We look forward to seeing you soon!
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B-Mitzvah Registration September 2023-May 2025

Learning needs and preferences

Medical information

Tuition Information