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Application for B'nai Mitzvah or Yisrael Program:
Name:
Requested Date for Ceremony:
Requested Time:
Birthdate:
Parents’ Names:
Mailing Address:
Parents’ tel. day:
Parents’ tel. eve:
Parents’ email:
Parents’ email 2:
Student Email:
Event Location:
Choose: Individual Bar - Bat Mitzvah
Adventure Bar - Bat Mitzvah Class
Bar - Bat Yisrael

   Why does your child wish to have an Adventure Rabbi bar or bat mitzvah or Yisrael?
  
   Do you have a current or recent synagogue relationship?
  
   What formal religious education has your child received?
  


 

 

 

 

I'm not yet ready to apply....
Please Have Someone Contact Me Now About the Program Options:

First Name:
Last Name:
Email:
Phone #:

Comments:

 
Bar Mitzvah Class Trip
Bat Mitzvah - long distance learning - Skype
reading torah for a bar mitzvah
Bar & Bat Mitzvah Options:

OPTION 1:
Individual Bar & Bat Mitzvah Program

OPTION 2: Adventure
Bar & Bat Mitzvah Class

OPTION 3: Bar & Bat Yisrael

Come to Colorado for an Adventurous Bar Mitzvah

 
Bar & Bat Mitzvah Options:

OPTION 1:
Individual Bar & Bat Mitzvah Program

OPTION 2: Adventure
Bar & Bat Mitzvah Class

OPTION 3: Bar & Bat Yisrael