Bar Mitzvah Form | elstree.chabadsuite.net

Parent

First Name *

Last Name *

Email *

Phone Number *

Son

First Name *

Last Name *

Phone Number

Birth Date *

Month

Day

Year

Is your Birth Date Before Sunset? *

Yes

Which date will you be celebrating your Bar Mitzvah on?

Month

Day

Year

Please name the school you will be attending for Year 8 *

Please list any allergies

Which shul are you most affiliated with? *

Please specify the shul *

Suggested Donation Amount *

Discount Code

Discount Amount

Current Date

Month

Day

Year

I do NOT allow for photos to be taken of me or my child

No Photos Checkbox