Date & Service
Please note that for all Bar/Bat Mitzvah celebrations, this form needs to be filled out. Once the form is completed, our office will contact you for confirmation. The kiddush this does not exclude life cycle events (yahrtzeit, birthdays etc).  
    Date :  Service :
Bar / Bat Mitzvah Information
Full Name:  Hebrew:
Grade: School:
Birthday: Hebrew Birthday:  
Contact Information
Father's Name: Home #    Mobile # 
Mother's Name: Home #    Mobile # 
Reminders & Restrictions

Decorations: Due to expensive cleaning, we no longer accept balloons, confetti and glitter.

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