Registration for Bat Mitzvah Club
Dates: Dec 12th 2010 - May 15th, 2011
Family Name:
Address:
Home Phone:
Parent's Cell Phone :
Child's name:
Child’s Hebrew name:
Grade:
School:
Date of Birth:
Father’s First & Last Name
Mother’s First & Last Name:
Mother's E-mail:
Daughter's E-mail:
Does you child read basic Hebrew? None Somewhat Well Does your child speak/understand Hebrew? None Somewhat Well Does your child have previous Jewish Education? Yes No
The Cost for the Bat Mitzvah Club is $80.00
Form of Payment
I will pay by check
(Please remit check to Chabad of Westborough, 54 South St, Westborough, MA 01581, and memo "Bat Mitzvah Club.")
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