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B'nai Mitzvah Application

 

In case of financial hardship, limited scholarship funds may be available for qualified applicants. Please contact Zach Lasker (zach@tioh.org) 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 tunion@tioh.org

STUDENT NAME

PARENT 1

Please use formal English name

Reform
Conservative
Orthodox
Reconstructionist
Spiritual but not Religious
Atheist
Non-Jewish

PARENT 2

Please use formal English name

Reform
Conservative
Orthodox
Reconstructionist
Spiritual but not Religious
Atheist
Non-Jewish

SIBLINGS FORMAL ENGLISH NAME

Sibling 1 Name

Sibling 2 Name

Sibling 3 Name

GRANDPARENT NAMES

Grandparent 1

Living
Deceased

Grandparent 2

Living
Deceased

Grandparent 3

Living
Deceased

Grandparent 4

Living
Deceased

Address

Parent 2 Address (only if different than parent 1)







STUDENT STATUS





B'NAI MITZVAH INFORMATION

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)




I/WE AGREE

CONFIRMATION - CONTRACT

By entering in your name below, you are authorizing your signature and confirming your student's B'nai Mitzvah.

Thank You

Bar/Bat Mitzvah Fee and Payment Agreement

$2500

This fee includes the following:

Bar/Bat 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.

Friday Oneg Shabbat The Bar/Bat Mitzvah family and the Temple co-host a simple Oneg after the Kabbalat Shabbat service (Friday evening before the Bar/Bat Mitzvah) which is prepared for the entire congregation in honor of the Bar/Bat Mitzvah.

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.

If requested by the family candy for the Service will be provided by TIOH - Families are not permitted to bring their own

Security (Saturday Morning) The fee also helps defray the cost of security from approximately 8:00 a.m. to 2:00 p.m. on the morning of the Bar/Bat Mitzvah. Each family contributes toward this Temple cost.

Payment Terms

We require a minimum $250 deposit at time of signing the agreement. The balance will be due monthly over up to nine (9) installments by automatic credit card, or electronic check (ACH) payment. We agree to enter into 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 Bar/Bat Mitzvah will be cancelled.
In the event the Bar/Bat Mitzvah is cancelled the refund of amounts paid will be calculated as follows:
- If cancelled more than 12 months in advance of the confirmed event date the refund will be 100%.
- If cancelled between 4 and 12 months prior to the confirmed event date, we will give you a prorated refund based on the number of full months remaining until the event.
- If cancelled 3 or less months prior to the confirmed event date, the family will not be entitled to any refund.

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

Recurring Payment

Recurring Total:   

Account Details

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Payment Information

  

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