Register for Bat Mitzvah Club

Wednesdays 5:00-6:30 PM

Nov 2026 - Feb 2027

How many people are you registering? *

(including yourself)

Bat Mitzvah Club Attendee Info

First Name *

Last Name *

Hebrew Name *

Example: David or דוד

Birth Date

Time of day born *

Grade *

Cell Phone *

Allergies

Bar/Bat Mitzvah Date

I hereby give permission, in the event of an emergency, for the Director, Acting Director, or the Teacher at JEMS Hebrew School to take whatever steps may be necessary for the medical care of my child.

Yes

Bat Mitzva Club *

Payment in full upon enrollment - $ 1,250.00

Total for this participant

Family Info

Street Address *

City *

State *

Postal Code *

Country

Mother's Info

Mother's Name *

Hebrew Name of Mother

Mother's Email

Mother's Cell

Father's Info

Father's Name

Hebrew Name of Father

Father's Email

Father's Cell

(when neither parent can be reached)

Emergency Contact

Emergency Contact's Name

Emergency Contact's Cell

Register for Bat Mitzvah Club

Wednesdays 5:00-6:30 PM

Nov 2026 - Feb 2027

Delray Jewish Life Center Inc - DBA Chabad of West Delray, Florida