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Youth Programs Bar & Bat Mitzvah Club

Bat Mitzvah Club 2026-2027 Registration

Bat Mitzvah Girl's Name*
First Name Last Name
Bat Mitzvah Girl's Jewish Name
Bat Mitzvah Girl's Birth Date*

Month Day Year
School She Attends*
Grade Starting Fall 2026*
Mother's Name*
First Name Last Name
Mother's E-mail*
Mother's Phone Number*

Area Code Phone Number
Father's Name*
First Name Last Name
Father's E-mail*
Father's Phone Number*

Area Code Phone Number

Address*

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

Marital Status*
Is there a Conversion in the family?*
Rabbi Who Performed the Conversion:
Chabad can only accept a conversion performed by an Orthodox Rabbi.
Total

$0.00 CAD

Payment $400*

Credit Card Paypal E-Transfer or Check

Postal / Zip Code

Country

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