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2024 Club 12 Mother/Daughter Bat Mitzvah Program
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Parent's Information
*
Are you a member of The Village Shul?
Please Select One
Yes
No
*
Do you belong to another Shul?
Please Select One
No
Yes
*
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
Email
Mobile Number
Payment Information
Village Shul Members: $360
Closing celebration not included
Non-Members $399
Closing celebration not included
Total
Comments:
Privacy Release
Privacy Release
I 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, February 15 2025 17 Shevat 5785
