Bat Mitzvah Club Registration

BAT MITZVAH CLUB
We are currently accepting application forms for the 2022 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 30 2022 and will run monthly until June 2022
CHILD INFORMATION
Child Name*
First NameLast Name
Hebrew Name
Date of Birth*
Entering Grade*
Are the child's biological parents Jewish by birth*
YesNo
Comments
Have there been any conversions or adoptions in your family? **
YesNo
PARENT INFORMATION
Mother Name*
First NameLast Name
Father Name*
First NameLast Name
Mother Email*
Father Email*

Address*

Mother Cell Number*
Area CodePhone Number
Father Cell Number*
Area CodePhone 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