Bat Mitzvah Girls Club Registration

Mazal Tov on the upcoming celebration of your child's Bat Mitzvah.According to Jewish tradition, a Bat Mitzvah reflects a major turning point in the life of a Jewish girl. As such, we believe very strongly that every girl should celebrate this milestone in a meaningful and traditional manner.

The Bat Mitzvah Girls Club offers three interactive and engaging lessons. The sessions include scrapbook making, a customized speech and gift for the occasion and meaningful discussions towards becoming a Bat Mitzvah.

Cost for Bat Mitzvah Girls Club participation: $200 (for all three sessions)

Special discount for students of Hebrew School of the Arts: $150 (for all three sessions)

Please fill out ALL fields of this form. For any questions, call 347.277.5040
Bat Mitzvah Girls Club
For Girls Ages 11-12
Student Profile
Full Name*
First Name Last Name
Hebrew Name
Age*
Birth Date*

Month Day Year
Time of Birth* In Judaism the day begins at nightfall, so in order to determine the exact date of your Jewish birthday we need to know what time of day you were born.
School*
Grade Entering*
Hebrew Reading Proficiency

NoneSomewhatWell
Previous Jewish Education

YesNo
If yes, where?
Does your child have any learning disabilities? Please specify* (This information will help us better cater to the needs of your child.)
Parent Information

Address*

Phone Number*

Area Code Phone Number
Father's Name*
First Name Last Name
Father's Cell*

Area Code Phone Number
Father's Email
Mother's Name*
First Name Last Name
Mother's Cell*

Area Code Phone Number
Mother's Email*
Check which apply*

Mother born JewishMother converted - Jewish Orthodox Conversion
Emergency Information
Emergency Contact*
First Name Last Name
Phone Number*

Area Code Phone Number
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed*
Yes, I'd like to join!

For Hebrew School Students taking the Bat Mitzvah Club, the price is $150For students not enrolled in Hebrew School, the price is $200
Total

$0.00
Payment Information
Name
First Name Last Name Initial
Date*

Month Day Year

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

We’re so excited for this meaningful milestone and can’t wait to celebrate with you and your daughter!
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Bat Mitzvah Girls Club