Bar Mitzvah Club Online Registration form
Registration for 2019/2020 open
 Bar Mitzvah Club begins in October 

Student/Parent Information
Name
  First
Last
Hebrew Name  
Address
  Street City
Province
Postal code
Date of Birth
       
Contact Info
  Home phone Email
Schools
  School Hebrew School Grade:
Student's Mother
  Mother's Name
Hebrew Name Work Phone Cell
Student's Father
  Father's Name
Hebrew Name Work Phone Cell
    Where did you hear about us?

Mother Jewish?

Father Jewish?

PAYMENT & FEES:

Dates

  Start date at BMC Date of Bar Mitzvah:
Fees  

$ 450 /members $500/ non members
plus a $50 book and registration fee

 

 

I will be paying by: Credit Card Check

Card Type

 

Card Number

 

Expiration Date

 
 
 
 
IMPORTANT
 
  • I give my child permission to participate in all club activities and trips.

  • The student, as well as his parents or guardians, agree to abide by the rules and regulations set forth by the club.

  • Photos may be taken and used for future advertising.
  • I understand that the Chabad Russian Center of Thornhill Woods does not assume responsibility for any injury, and in case of emergency, necessary medical attention may be secured by the CRC of Thornhill Woods.
   
  Parent's signature: