B'nai Mitzvah Intake Form

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Thank you for sharing this information with us!
It will help us make your day special.

Family Information

* First name of B'nai Mitzvah child

* Last name of B'nai Mitzvah child

* Name your child prefers to be called and pronouns

(e.g. Mike instead of Michael, he/him)

* Is this a Bar or Bat Mitzvah?

Full Gregorian birthdate of child (Day/Month/Year)

* First name of Parent 1

* Last name of Parent 1

* Phone number

* Email

* Father or Mother?

* To help us support your family best please indicate if parent 1 is Jewish

* First name of Parent 2

* Last name of Parent 2

To help us support your family best please indicate if parent 2 is Jewish

* Phone number

* Email

* Father or Mother?

Marital status of child's parents

* Are you members of Beth Torah?

If no, how did you hear about Beth Torah?

Vision

* Please describe the vision for your child's special day

* What is your goal for your child and for you as parents?

* If not Beth Torah, please note if you and/or your child's grandparents belong to other synagogues

Types of Services

The following are the Bar and Bat Mitzvah services that we offer. Please choose the ones that you feel would be most meaningful to you and your child. While we try to accommodate families' needs, your best opportunity to book a Bar or Bat Mitzvah would be a Saturday morning.

1. Shabbat Morning

Child reads from the Torah and chants a Haftorah
A good command of Hebrew is suggested
Child will be singing in front of invited guests and regular Congregants
Service is approximately 3 hours followed by a lunch with your invited guests

2. Shabbat Afternoon/Twilight

Child reads from the Torah
Only invited guests attend
One hour and fifteen minute service
Service ends with Havdalah
Service followed by cocktails followed by dinner / dance party

3. Sunday Morning Rosh Chodesh- only selected weeks available

Child reads from the Torah - the portion for the New Moon
Invited guests attend
Service is 1 hour
Service is followed by breakfast or brunch

4. Monday Morning - only selected weeks available

Child reads from the Torah – 1/7^thof that week’s Shabbat Torah portion
Invited guests attend
Service is 45 minutes to 1 hour
Service is followed by breakfast or brunch

5. Thursday Morning- only selected weeks available

Child reads from the Torah – 1/7^thof that week’s Shabbat Torah portion
Invited guests attend
Service is 45 minutes to 1 hour
Service is followed by breakfast or brunch

Please explain why you made your selections

Additional Information

* Number of years your child attended Hebrew day school (if not applicable, please type 0)

Name of Hebrew day school attended (if applicable)

* Please rate your child's Hebrew reading ability (10 being complete fluency)

* Does your child have any learning or behavioral challenges? Please describe.

* Extracurricular activities

* Is there anything else that we should know?

Sun, 28 April 2024 20 Nisan 5784