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Youth Programs Bar / Bat Mitzvah Post Bat Mitzvah Program

Post Bat Mitzvah Program Registration

Post Bat Mitzvah Program Registration
Registration is now open for the 2021-2022 school year for girls entering 7th grade.

All registration received by June 6th will get a 50% discount!
Post Bat Mitzvah Girl's Info
Full Name*

First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
Born After Sunset?*

Yes No
School

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number
Parents' Info
Mother's Name

First Name Last Name
Mother's Phone Number

Area Code Phone Number
Mother's E-mail
Father's Name

First Name Last Name
Father's E-mail
Father's Phone Number

Area Code Phone Number
~~Price $499~~

Early Bird Discount $250
Price*

$250

Payment*

Credit Card

Credit Card Type
Credit Card Number
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

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Post Bat Mitzvah Program Schedule

Programs