Bar Mitzvah Registration Form

Father's Full Name*

First NameLast Name

Father's Hebrew Name

Father's Cell #*

Area CodePhone Number

Father's Email*

Mother's Full Name*

First NameLast Name

Mother's Hebrew Name

Mother's Cell #*

Area CodePhone Number

Mother's Email*

Address*

Siblings of Bar Mitzvah BoyPlease include ages

Is the Father Jewish?*

YesNo

Is the Mother Jewish?*

YesNo

Marital Status of Parents*

MarriedDivorcedSeparated

Any conversions in the family?*

YesNo

Please explain the conversions in the family*

Bar Mitzvah Boy*First Name

Hebrew Name

Current Hebrew School/Synagogue*

Birth Date*

MonthDayYear

Bar Mitzvah date will be reserved only after meeting with the Rabbi.

Bar Mitzvah Date Preference*

MonthDayYear

Please Indicate*May pick more than one

Shabbat Morning & Kiddush LuncheonMonday or Thursday - 7:30am with congregationMonday or Thursday - Separate Service (anytime between 8am-10am)

Approximately how many people to you expect to attend?*

Comments

Family Information