Bat Mitzvah Club Registration 2024-2025

or Sign In With

New User: Register Now

Home
Donate

Home
Tourist Info
Donate
Contact
- About Us

Home
Donate

Please verify reCaptcha before submitting the form.

Welcome!

We are so excited you chose to join our Bat Mitzvah Club 2024-2025 at The Shul.

----------------------------------------------------------------------------------------

Bat Mitzvah Club Girl Information

* First Name

* Last Name

Hebrew Name

* Address

* State

* Zip Code

* Cell Phone

* Email Address

Name of school attending this upcoming year

* Age

* English Birthday

* Time of Day

Born before SunsetBorn after SunsetSelection above affects determination of Hebrew Birthday

Hebrew Birthday (if known)

Allergies

Family Information

* Father's First Name

* Father's Last Name

Father's Cell Phone

Father's Email

Mother's First Name

Mother's Last Name

Mother's Cell Phone

Mother's Email

Please Select Your Preferred Contact for Program Updates and Information:

FatherMotherBoth

Is the biological mother of the child Jewish?

YesNo

Were there any conversions in your family?

YesNo

If yes, please explain

If yes, please upload conversion documents

Emergency Contact Information

Name

Phone Number

Relationship

Payment

* Payment Plan A (5 monthly installments) $200 monthly

Please Select OneNot-applicableBat-Mitzvah-Club-5-monthly-installmentsOn the confirm payment page be sure to select- Pay This Amount: 5 Payments

Payment Plan B (Full Payment) $1000

Not-applicableBat Mitzvah Club (full payment)On the confirm payment page be sure to select- Pay This Amount: Once Now

* Email Address

* Cell Phone Number

Payment Plan Selection:

Plan A: The entire amount indicated in "Total Amount Due" is due and payable in five (5) monthly installments.

Plan B: The entire amount indicated in "Total Amount Due" is due in a single payment.

* Select Payment Plan:

* Yes, I agree and confirm all the information.

Yes, I agree and confirm all the information.

Thu, October 3 2024 1 Tishrei 5785

Home |
Donate

Privacy Settings | Privacy Policy | Member Terms