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Bar Mitzvah Lesson Registration

Child Full Name
First NameLast Name
Hebrew NameIf Known
Birth Date
MonthDayYear
School Attending
Bar Mitzvah Celebration Date
Was the natural mother born Jewish?
YesNo
Were there any conversions in the family?
YesNo
If yes - who was the Rabbi?
Temple / Synagogue affiliation (if applicable)
Parent Information

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number
Area CodePhone Number
E-mail
Father Name
First NameLast Name
Father Cell Phone Number
Area CodePhone Number
Father Email
Mothers Name
First NameLast Name
Mother Cell Phone Number
Area CodePhone Number
Mother Email
Should be Empty:

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Upcoming events

Sep. 20, 2021

Tanya of the Week

R' Lazer Sachs

Sep. 20, 2021

Nightly Farbrengens for Men

Sep. 21, 2021

with R' Nachman Ross

Sep. 21, 2021

with R' Nachman Ross

Click here to view our weekly Services Schedule