Printed fromChabadNC.org

Bat Mitzvah Club

ב"ה

Sign Up!

Bat Mitzvah Club Registration
Please click here to submit your $250 payment, then return to complete the registration form. Thank you!
Full Name

First Name Last Name
Hebrew Name
Birth Date

Month Day Year
Time of Birth

So we can calculate your Hebrew Birthday
Which School Do You Attend?
Mom's Name

First Name Last Name
Dad's Name

First Name Last Name

Address

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

Phone Number

Area Code Phone Number
E-mail
I would like to receive news and updates by email
Should be Empty:

This page uses TLS encryption to keep your data secure.

Time of Your Life!

Becoming An Adult

Request More Info

Part of Bat Mitzvah Clubs International©