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Bat Mitzvah Club Registration

Bat Mitzvah Club Registration

 Email


Registration Form

Last Name First Name

Hebrew Name

Father's Name Mother's Name

Address City Postal Code

Home Telephone E-mail Address

Birthday Age

Current School Current Grade

Have there been any conversions in the family?
Yes No

If yes, please elaborate:

Tell us a little about yourself...

What are your favourite subjects at school?

What are your favourite activities?

What do you do in your free time?

Names and ages of other siblings

I would like to join the Bat Mitzvah Club because...

For Parents

I am able to volunteer my time to help at BMC if needed Yes No Maybe

Father's E-mail Address:

Mother's E-mail Address:

Bat Mitzvah Girl's E-mail Address:

 Email