2025 The Worldwide Bar & Bat Mitzvah

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New Date: Start March 10th

Family Information

* Address Line 1

Address Line 2

* City

* State/Province

* Postal Code

* Country

* First Name of Parent Attending

* Last Name of Parent Attending

* First Name of Second Parent/Guardian

* Last Name of Second Parent/Guardian

* Parent Email Address

* Parent Cell Phone Number

Parent Home Phone Number

* Denomination

Synagogue Affiliation

Child's Information

* Child's First Name

* Child's Last Name

* Child's Hebrew Name

* Birth Date

Email Address

Cell Phone

* Bar/Bat Mitzvah Date

Where did you hear about The Worldwide Bar and Bat Mitzvah Program?

Other

Name of Friend

Payment Information

$199 USD / $250 CAD

Total

* Privacy Release

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

Sat, May 17 2025 19 Iyyar 5785

The Dan Family Village Shul and The Friedmann and Berg Families Aish HaTorah Learning Centre

1072 Eglinton Ave. West, Toronto, ON, Canada M6C 2E2 416-785-1107 office@villageshul.com

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