Hebrew School Registration

Home Address*

Please indicate which Bar/Bat Mitzvah Ceremony you are considering. Please refer to the Information Package emailed to you.
Parents Information
Father's Name*
First Name Last Name
E-mail*
Father's Cell*

Area Code Phone Number
Mother's Name*
First Name Last Name
E-mail*
Mother's Hebrew Name*
Mother Jewish by:*

BirthChoiceNot Jewish
Mother's Cell*

Area Code Phone Number
Once the registration is received and approved we will reach out to you to discuss the available ceremony options, ceremony dates, lesson plan and fee schedule.
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Bar/Bat Mitzvah Ceremony Registration Form