Bat Mitzvah Club Registration

BAT MITZVAH CLUB

We are currently accepting application forms for the 2023 Bat Mitzvah Club. Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, or would like to request a printable registration form please contact us .

We look forward to a wonderful year of learning and growth.

Bat Mitzvah Club will begin in January 29 2023 and will run monthly until June 2023
CHILD INFORMATION
Child Name*

First Name Last Name
Hebrew Name
Date of Birth*
Entering Grade*
Was the child's mother's mother born to Jewish Parents*

Yes No
Comments
Have there been any conversions or adoptions in your family? **

Yes No
After completing the form a meeting will be set up to discuss Bat Mitzvah program
PARENT INFORMATION
Mother Name*

First Name Last Name
Father Name*

First Name Last Name
Mother Email*
Father Email*

Address*

Mother Cell Number*

Area Code Phone Number
Father Cell Number*

Area Code Phone Number
I would like to receive news and updates by email
PAYMENT INFORMATION
Cost for 6 session Bat Mitzvah Club Program $350

Payment plans are available

No one will be turned away for a lack of funds; Please contact the Chabad of Hunterdon County office for payment plans or scholarship requests 908-238-9002

Payment

Credit Card Check

Postal / Zip Code

Country

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CHILD INFORMATION