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 NameLast Name
Father's Name*

First NameLast Name
Mother's Name*

First NameLast Name
Is the Mom Jewish?*

Yes by birthYes by adoptionYes by conversionNo
Is the maternal grandmother Jewish?*

Yes by birthYes by adoptionYes by conversionNo
Parent E-mail*
Parent Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Bar Mitzvah Boy Birth Date:

MonthDayYear
Preferred Bar Mitzvah Ceremony Date: *

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

Tefillin, Intro and PracticeBar Mitzvah Ceremony, Speech prepBar Mitzvah Reception RefereshmentsTorah Blessings Reading practiceBar Mitzvah private classes (including crash course on Jewish life, Biblical heroes, Jewish Life Cycles, In depth Bat Mitzvah Parsha learning,)Mitzvah Project and ImplementationHebrew 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