B’nei Mitzvah Program – Registration 2024/2025 - Form

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B’nei Mitzvah Program – Registration 2024/2025

Costs for the B'nei Mitzvah class
$500 member/$600 non member
*The class is complementary for those who have booked their Bar/Bat Mitzvah at Habonim.
*Tuition support based on financial need is available.

Please choose one option

Student's Name

Student's Date of Birth

Student's Email

Address

City

Postal Code

Primary Parent Contact

Name

Phone Number

Secondary Parent Contact

Name

Phone Number

Best way to contact with important information

EmailPhone

Are you a member of Congregation Habonim

YesNo

Is your child having their Bat/Bar Mitzvah at Congregation Habonim?

YesNo

If known, what is the date of your Child's Bar/Bat Mitzvah?

If known, what is the name of your child's Torah Portion?

Health Card Number

Allergies/Health Concerns

Does your child have any special needs, learning or behavioral difficulties ( i.e. hearing, vision, lack of confidence, etc)?

Please tell us about your child – passions, interests, skills, and anything else we should know.

Thu, November 21 2024
20 Cheshvan 5785

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Thu, November 21 2024 20 Cheshvan 5785