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: This page uses 128 bit SSL encryption to keep your data secure.
