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Bat Mitzvah Experience 2025-2026
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First Name of Bat Mitzvah Child
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Last Name of Bat Mitzvah Child
Hebrew Name of Bat Mitzvah Child
*
Date of Birth
Email Address of Bat Mitzvah Child
Projected Date of Bat Mitzvah
*
Grade the Bat Mitzvah child is entering in September 2025
Please Select One
6
7
8
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School the Bat Mitzvah child is attending in September 2025
*
Parent 1 First Name
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Parent 1 Last Name
*
Parent 1 email address
*
Parent 1 Phone Number
Parent 2 First Name (if applicable)
Parent 2 Last Name (if applicable)
Parent 2 email address (if applicable)
Parent 2 phone number (if applicable)
Member $360
Non-Member $425
Photo Consent Opt-Out
Photo Consent Opt-Out
Throughout the program photos may be taken and shared with the broader community to celebrate the girls' accomplishments and promote the program. If you would prefer your child's photo to
not
appear in those public posts please click this box.
Wed, October 15 2025 23 Tishrei 5786