Bar Mitzvah Form

Person Filling out Form

First Name

Relation to Bar Mitzvah Boy

Relation

Home Address

Name

Preferred Contact Person

Phone Number

Best Contact Number

Address

E-mail

preferred e-mail for all correspondence

Bar Mitzvah Boy's Name(Required)

First Last

English Birthdate

mm/dd/year

Jewish Birthdate

If Known

Email(Required)

Enter Email Confirm Email

Date Request for Bar Mitzvah

Alternate Date Option

Please check the boxes that apply.

Shabbat Morning Bar Mitzvah Aliyah Ceremony at DJCC

Shabbat Mincha Aliyah Ceremony at DJCC

Friday Evening Ceremony at DJCC

Monday Bar Mitzvah Aliyah Ceremony at DJCC

Thursday Bar Mitzvah Aliyah Ceremony at DJCC

Alternate Bar Mitzvah Ceremony at DJCC

Alternate Bar Mitzvah Location

Alternate Bar Mitzvah Ceremony

Weekday Teffilin Ceremony before Bar Mitzvah

Please check your preference

Sponsor Basic Kiddush after services $1000

Sponsor Lavish Kiddush after Services $TBD

Sponsor Cake and Fruit after Services $360

Private Family Kiddush after Services at DJCC $TBD

Facility Rental for non Shabbat Event

Other

Options

Parsha Tutoring (payment TBD with tutor)

Haftorah Tutoring (payment TBD with tutor)

Alternative Ceremony TBD

Bar Mitzvah Sessions with Rabbi ($500)

Donation to DJCC optional and appreciated

I am interested in purchasing Teffilin

Details and pricing for any additional Bar Mitzvah events and or Celebrations will be Determined. Please share what you have in mind

Comments(Required)

Once all of the above is confirmed we will follow up with additional information and details. Please share any comments or questions you may have.

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