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Bar/Bat Mitzvah Date Confirmation Form

 

Student Information

(Print the name as you would like it to appear on the Certificate of Bar/Bat Mitzvah)
(Includes the Hebrew name/s of parent/s: e.g. Yoseph ben Yaakov or Miryam bat Avram v'Tziporah)

Parent Information

(Please insert the date that is printed on the Bar/Bat Mitzvah form that was mailed to you)

Additional Information

IMPORTANT:

Account Details

Enter your name and e-mail address for your confirmation

Payment Information

  

For added Security please check the box below.



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