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Bnai Mitzvah Application

 

In case of financial hardship, limited scholarship funds may be available for qualified applicants. Please contact Bill Shpall before filling out the application, at (323) 876-8330 ext. 2004 for more information.

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

CHILD'S NAME

FORMAL ENGLISH NAME OF PARENT ONE

FORMAL ENGLISH NAME OF PARENT TWO

SIBLINGS FORMAL ENGLISH NAME

Sibling One Name

Sibling Two Name

Sibling Three Name

GRANDPARENTS NAMES

Parent One Name of Father

Parent One Name of Mother

Parent Two Name of Father

Parent Two Name of Mother

PARENTS' CONTACT INFORMATION

Parent One Contact Information

Parent Two Contact Information (only if different than parent one)

PARENTS' BACKGROUND





















GRANDPARENT'S STATUS INFORMATION









CHILD'S STATUS





B'NAI MITZVAH INFORMATION

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)



I/We have read the Standards and Requirements for Bar/Bat Mitzvah candidates and I/We agree that the candidate will complete 3 years of Hebrew studies and will remain in Religious School through the year of the candidates Bar/Bat Mitzvah ceremony.

CONFIRMATION - CONTRACT

By entering in your name below, you are authorizing your signature and confirming your child's Bnai 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 all Religious School and Temple Membership 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 child, 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

By signing and submitting this Confirmation and Contract you agree that the full fee of $2,500 will be due and payable on the date which is eighteen months prior to your child’s originally assigned Bar/Bat Mitzvah date. If that date is less than eighteen months from the date of this Contract the full fee is due upon signing. For your convenience, we offer a twelve month interest free payment plan automatically charged to the credit card of your choice. Any payments made toward the Bar/Bat Mitzvah will be refunded if the Bar/Bat Mitzvah is cancelled more than one year in advance of the scheduled date. If cancelled less than a year in advance the refund will be prorated for the months remaining.

Additional Tutoring

In the event you and your child'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 refinded to you. In the event more than five additional tutoring sessions are necessary you agree to be charged at the same rate per session

Payment Options

I would like twelve equal payments ($208.33) commencing eighteen months prior with the final payment six months before the Bar/Bat Mitzvah.
Pay Now $2,500.00

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Increase my donation by 3% to cover credit card fees. Please select YES to increase your donation.
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