B’NEI MITZVAH PROGRAMME test

B'nei Mitzvah form

Child's name(Required)

Child first name Child last name

Child's date of birth(Required)

Address(Required)

Address Line 1 City Postcode

Name of synagogue(Required)

Name of primary school(Required)

Name of secondary school that they attend or will be attending 2024/2025(Required)

Date of Bar/Bat Mitzvah(Required)

Which cohort would you like to register your child for?(Required)

Parent first and last name(Required)

Parent first name Parent last name

Parent email(Required)

Parent contact number(Required)

Does your child have any medical conditions(Required)

Does your child have any allergies?(Required)

How did you hear about the B'nei Mitzvah programme?

I give permission for my child to have photos taken to be used for marketing purposes.(Required)

Please select from the dropdown above.