2023 Club 12 Mother/Daughter Bat Mitzvah Program

Parent's Information

* Are you a member of The Village Shul?

* Do you belong to another Shul?

* Which one?

* Mother Last Name

* Mother First Name

* Address Line 1

* Postal Code

* Home Number

* Mobile Number

* Email

Daughter's Information

* First Name

* Last Name

* Hebrew Name

* School

* Date of Birth

Mobile Number

Payment Information

Village Shul Members: $360

Closing celebration not included

Non-Members $399

Closing celebration not included

Total

Note: 3% will be added for all credit card transactions. (Payments may also be made by e-transfer to asamole@aish.com, or via cheque or cash)

Comments:

Privacy Release

Privacy ReleaseI hereby give permission for my child’s photographs/videos to be used by The Village Shul Bar Mitzvah Program for internal and external publicity.

Sat, May 27 2023 7 Sivan 5783