Bet Shalom Congregation B'nai Mitzvah Facility Usage Form
Congratulations! You are well on your way to planning for your Bar or Bat Mitzvah! Please complete the following form as soon as possible to communicate your plans to the staff at Bet Shalom.
Contact Information
Please provide the following contact information as we prepare for your upcoming simcha.
B'nai Mitzvah Student Name *
Your answer
Main Contact for Planning Purposes (Parent/Guardian) *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
9-Digit Phone *
Your answer
Email *
Your answer
Date of Shabbat Service *
MM
/
DD
/
YYYY
Number of Expected Guests at the Saturday morning Shabbat Service *
Your answer
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