Bar/t Mitzvah Program 2022-2023

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WELCOME TO THE 2022-2023
BAR/T MITZVAH PROGRAM!

Parents' Information:

* Parent #1 First Name

* Parent #1 Last Name

* Phone Number

* Email Address

Parent #2 First Name

Parent #2 Last Name

Phone Number

Email Address

Religious Background:

* Mother:

Jewish by BirthJewish by ChoiceOther

* Father:

Jewish by BirthJewish by ChoiceOther

Student Information:

* How many children applying?

Please Select One123

Child 1:

* Child 1 - First Name:

* Child 1 - Last Name:

* Child 1 - DOB:

* Child 1 - Grade:

Please Select OneGrade 5Grade 6Grade 7Grade 8

Child 2:

Child 2 - First Name:

Child 2 - Last Name:

Child 2 - DOB:

Child 2 - Grade:

Please Select OneGrade 5Grade 6Grade 7Grade 8

Child 3:

Child 3 - First Name:

Child 3 - Last Name:

Child 3 - DOB:

Child 3 - Grade:

Please Select OneGrade 5Grade 6Grade 7Grade 8

Financial Section:

Fees* vary by whether you're a current, fully paying member or not. Please choose appropriate selection below.
*Must be paid with registration.

First Child, Full Paying Member $1,000First Child, Not a member $3,750

Second Child, Full Paying Member $1,000Second Child, Not a Member $1,000

Third Child, Full Paying Member $1,000Third Child, Not A Member $1,000

* Signature

* Date

Sun, June 4 2023 15 Sivan 5783

15030 Ventura Blvd. Suite 11 #378, Sherman Oaks, CA 91403
(310) 915-5200 \ www.ohrhatorah.org \ office@ohrhatorah.org