Bar & Bat Mitzvah Registration Form

Child Name*

First Name Last Name
Child Born On*

Month Day Year
at Hour Minutes
Event Date

Month Day Year
at Hour Minutes
Mother*

Jewish by birth Jewish by choice Not Jewish
Father*

Jewish by birth Jewish by choice Not Jewish
Type of Service
Bar/Bat Mitzvah Fee

$2400
The fee covers:
- 15-20 (45 minute) sessions with a private tutor (value $2400).
- Bar/Bat Mitzvah related administrative expenses (value $500).
- Bar/Bat Mitzvah Discovery Class* with Rabbi Deren: (value $600).
- Rabbi Deren’s officiating ceremony ($1000).
Our family agrees to the following requirements:
- Only approved kosher caterer will be used for the service and connected events.
- Enroll in the Tuesday Night Discovery Group REGISTER HERE
- Attend Shabbat Morning Service at least 2 Saturdays every month (for 8 months)
- Boys - Purchase Tefillin w/ Rabbi
- Girls - Purchase Shabbat Candlestick w/ Rebbetzin
E-Signature

Payment

Credit Card Mailing Check

Postal / Zip Code

Country

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