In case of financial hardship, limited scholarship funds may be available for qualified applicants. Please contact Zach Lasker ([email protected]) before filling out the application.
Please complete this form in its entirety. If you have any questions, please call Tamar Union at 323-876-8330 ext. 1007 or via email at [email protected]
STUDENT NAME
PARENT 1
Please use formal English name
PARENT 2
SIBLINGS FORMAL ENGLISH NAME (if applicable)
Sibling 1 Name
Sibling 2 Name
Sibling 3 Name
GRANDPARENT NAMES
Grandparent 1
Grandparent 2
Grandparent 3
Grandparent 4
Address
Parent 2 Address (only if different than parent 1)
STUDENT STATUS
B'NAI MITZVAH INFORMATION
(mm/dd/yyyy)
CONFIRMATION - CONTRACT
By entering your name below, you are authorizing your signature and confirming your student's B'nai Mitzvah.
Thank You
B'nai Mitzvah Fee and Payment Agreement
$3000
This fee includes the following:
B'nai Mitzvah Preparation Fee This includes meetings with Rabbi and Cantor, up to 26 private tutoring sessions, Rehearsal with the Cantor, and is in addition to Temple Membership and all Religious School tuition and fees.
Shabbat Morning Booklet Based on information provided by the family the TIOH will produce a booklet for use during the service Shabbat morning that includes a welcome, information about the service, the weekly Torah portion, a personal message from the family and the student, a description of the Mitzvah project. The booklet is informational, personal and a keepsake for your guests.
We will provide celebratory candy for use during the ceremony.
Security (Saturday Morning) The fee also helps defray the cost of security during your ceremony from approximately 8:00 a.m. to 2:00 p.m. on the morning of the B'nai Mitzvah.
Supplemental fees may include:
Payment Terms
We require a minimum $300 deposit at time of signing the agreement. The balance will be due monthly in up to nine (9) installments by automatic credit card, or electronic check (ACH) payment. We agree to enroll in the automatic payment system below and preauthorize the monthly payment. We acknowledge and understand that should we fail to make any of the required payments we will surrender the assigned date and the B'nai Mitzvah will be cancelled. In the event the B'nai Mitzvah is cancelled the refund of amounts paid will be calculated as follows:
Additional Tutoring
In the event you and your student's tutor agree that extra sessions are advisable (in addition to the 26 discussed above) you agree that your account will be charged for a minimum of 5 half hour sessions at the rate of $45 per half hour. Should all five not be required the balance will be refunded to you. In the event more than five additional tutoring sessions are necessary you agree to be charged at the same rate per session
Is usually located between the symbols on your check.
Typically comes before the symbols. Its exact location and number of digits varies from bank to bank.