Bar/Bat Mitzvah Registration form

Mazal tov on your upcoming Bar/ Bat Mitzvah!

Please fill out this registration form below.

1. The Bar/Bat Mitzvah Boy/Girl

Name

First NameLast Name

Hebrew name

Birth Date

MonthDayYear

2. The Parents:

Fathers Name

First NameLast Name

Hebrew name

Are both of Father's parents Jewish?

Occupation

Mothers Name

First NameLast Name

Hebrew name

Are both of Mother's parents Jewish?

Occupation

Parents E-mail

Phone Number

Area CodePhone Number

Address

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

3. Other:

Any conversions in the family?*

*Please note that Chabad policy only allows Bar/Bat Mitzvahs and classes for a child who's mother was born Jewish or went through an orthodox conversion.

Any adoptions in the family?

4. Bar/Bat Mitzvah Celebration:

Date of Planned Celebration

MonthDayYear

Notes:

Please be aware that filling out this form is only the first step to register for a Bar/Bat Mitzvah and/or classes. The celebration date is not confirmed until approved and a contract is signed by the administrator and Rabbi.

Bar/Bat Mitzvah Registration form

Mazal Tov!

Mommy and Me

Preschool

Hebrew School

Friendship Circle

Camp Gan Israel

Donate