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2025 The Worldwide Bar & Bat Mitzvah
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Family Information
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Address Line 1
Address Line 2
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City
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State/Province
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Postal Code
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Country
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United States
Afghanistan
Aland Islands
Albania
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Anguilla
Antarctica
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Argentina
Armenia
Aruba
Australia
Austria
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Bahamas, The
Bahrain
Bangladesh
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Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
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Bulgaria
Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
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El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
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Faroe Islands
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French Southern Territories
Gabon
Gambia, The
Georgia
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Gibraltar
Greece
Greenland
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and the McDonald Islands
Holy See
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Hungary
Iceland
India
Indonesia
Iraq
Ireland
Isle Of Man
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Italy
Jamaica
Japan
Jersey
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Kuwait
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Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
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Montserrat
Morocco
Mozambique
Myanmar
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Netherlands
Netherlands Antilles
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Nigeria
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Northern Mariana Islands
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Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
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Zimbabwe
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First Name of Parent Attending
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Last Name of Parent Attending
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Parent Attending T-Shirt Size
Please Select One
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
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First Name of Second Parent/Guardian
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Last Name of Second Parent/Guardian
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Parent Email Address
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Parent Cell Phone Number
Parent Home Phone Number
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Denomination
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Please Select One
Reform
Conservative
Reconstructionist
Other
Synagogue Affiliation
Child's Information
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Child's First Name
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Child's Last Name
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Child's Hebrew Name
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Birth Date
Email Address
Cell Phone
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Bar/Bat Mitzvah Date
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Child's T-Shirt Size
Please Select One
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
Where did you hear about The Worldwide Bar and Bat Mitzvah Program?
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Friend/word of mouth
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Article you saw
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Name of Friend
Payment Information
$199 USD / $250 CAD
Total
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Privacy Release
Privacy Release
I 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, November 7 2024 6 Cheshvan 5785