Leave this field empty

Bar/Bat Mitzvah Date Confirmation Form

Student Information

* Student's Full Name

(Print the name as you would like it to appear on the Certificate of Bar/Bat Mitzvah)

* Student's Full Hebrew Name

(Includes the Hebrew name/s of parent/s: e.g. Yoseph ben Yaakov or Miryam bat Avram v'Tziporah)

Parent Information

* Parent(s) Name(s)

* Cell Phone

* First Aliyah Date and Time

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

Additional Information

* WE PLAN TO PARTICIPATE IN A FRIDAY EVENING SERVICE BEFORE OUR BAR/BAT MITZVAH:

Yes

Undecided at this time

* WE PLAN TO SPONSOR AN ONE SHABBAT IN HONOR OF OUR CHILD'S BAR/BAT MITZVAH:

Yes

Undecided at this time

* WE PLAN TO USE THE TBS SOCIAL HALL FOR A KIDDUSH/LUNCHEON FOLLOWING THE SERVICE:

Yes

Undecided at this time

* WE PLAN TO USE THE TBS SOCIAL HALL FOR AN EVENING RECEPTION:

Yes

Undecided at this time

IMPORTANT:

* A student's Bar/Bat Mitzvah date is only confirmed once the Temple Office receives this form with half of the $1,000 Bar/Bat Mitzvah fee ($500). The Temple is not held responsible for any dates released due to non-payment of the deposit. Payment can be made through this online form or a mailed to Temple Beth Shalom.

Agree

* I uderstand that in order for my child to have a Bar/Bat Mitzvah on this date, my account with the Temple will be kept current, and my child will continue to be enrolled in our Religious School or another Jewish Studies program approved in advance by Rabbi Bar-Lev or Rabbi Herzog.

Agree

* Community and inclusion are central values of our congregation. I understand the Temple policy of inviting our child's entire Religious School grade to all aspects of the Bar/Bat Mitzvah celebration.

Agree

* All Bar/Bat Mitzvah ceremonies take place at 10am on Saturday mornings. In the event of a conflict with the time and the service has to take place later in the day, there will be an additional fee of $500 to open the building and provide proper staffing and security. Any time change must be cleared by the Senior Rabbi.

Agree

* Parent's Name and Date

* Student's Name and Date

* Bar/Bat Mitzvah Deposit ($500)