2025 The Worldwide Bar & Bat Mitzvah

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Home

Family Information

* Address Line 1

Address Line 2

* City

* State/Province

* Postal Code

* Country

* First Name of Parent Attending

* Last Name of Parent Attending

* Parent Attending T-Shirt Size

* 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

* Child's T-Shirt Size

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.

Thu, September 19 2024 16 Elul 5784