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Bnei Mitzvah Form
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* Indicates required question
Bar/Bat Mitzvah Child's English name
*
Your answer
Bar/Bat Mitzvah Child's full Hebrew name
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
What time of day was the child born?
*
Morning or early Afternoon
Evening or Night
Desired Date for the Bar/Bat Mitzvah
*
MM
/
DD
/
YYYY
Bar Mitzvah boys sometimes read from the Torah.
I would like my son to read from the Torah
I would like to be connected with a mentor
In order to read from the Torah, a Bar Mitzvah boy must walk to shul on Shabbat morning. Please select one of the following options:
We live within walking distance from Aish
We would like information about the hotels near Aish (
https://aishrockies.org/visit/
)
We would like information about being hosted by a family near Aish
Clear selection
Bar and Bat Mitzvah students sometimes deliver a Torah speech to the Congregation.
I would like my child to speak in front of the Congregation
I would like to be connected with a mentor
Bar and Bat Mitzvah students sometimes work on a Mitzvah project in preparation for their Bar/Bat Mitzvah.
I would like to be connected with a mentor to learn about a Mitzvah
I would like to hear more about Aish's Bnei Mizvah programs
Parents' Marital Status
*
Your answer
Mother's Name
Your answer
Father's Name
Your answer
Primary Contact
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Have there been any conversions on either the father's or mother's side of the family in the past 3 generations?
*
Yes
No
Not that we're aware of
If there has been a conversion, where was it performed, and who was the converting Rabbi?
Your answer
Families celebrate in different ways. Please ask us about options.
Your answer
Questions, comments, concerns?
Your answer
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