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B' Mitzvah Booking Form
Please verify reCaptcha before submitting the form.
B MITZVAH BOOKING FORM
Once your date is confirmed, our Executive Director will send you the Simcha booking form to add details of your Kiddush lunch and/or any other events you would like to book.
Please select your B Mitzvah event type:
Please Select One
B Mitzvah
B'nai Mitzvah (Siblings)
CHILD 1
Child's English Name
Child's Hebrew Name
English Date of Birth
Hebrew School
Since
Name of Hebrew/Jewish school child attended:
Years attended:
Example: 2018-2024
CHILD 2
Child's English Name
Child's Hebrew Name
English Date of Birth
Hebrew School
Since
Name of Hebrew/Jewish school child attended:
Years attended:
Example: 2018-2024
B MITZVAH DATE SELECTION
1st Desired Date for Simcha
Date #1
2nd Desired Date for Simcha
Date #2
3rd Desired Date for Simcha
Date #3
PARENT 1 INFORMATION
Parent 1 English Name
Parent 1 Hebrew Name
Ben/Bat (son/daughter of)
Tribe
Cohen
Levi
Yisrael
None Set
Is there a second parent?
Please Select One
Yes
No
PARENT 2 INFORMATION
Parent 2 English Name
Parent 2 Hebrew Name
Ben/Bat (son/daughter of)
Tribe
Cohen
Levi
Yisrael
None Set
Is this parent Jewish?
Please Select One
Yes
No
Was either parent ever divorced?
Yes
No
Were all grandparents born Jewish?
Yes
No
Is the child adopted?
Yes
No
Was either parent converted?
Yes
No
GRANDPARENT INFORMATION
Child's Paternal Grandparents
Child's Maternal Grandparents
HOME ADDRESS INFORMATION
Address
City
Postal Code
Parent 1 Email
Parent 1 Phone Number
Parent 2 Email
Parent 2 Phone Number
Approximate Number of Guests
Will there be another function other than at KBI?
Mon, 21 April 2025 23 Nisan 5785
