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ב"ה

Bat Mitzvah Club

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Session #1

Wednesdays, 4:30 – 6:00 pm

"LINKS IN A GOLDEN CHAIN"

Through fun, project based discussion and art, Bat Mitzvah girls will explore Biblical Jewish Heroines as well as relatable, ‘big’ Jewish ideas, to guide them at this pivotal stage in life.

Dates: Kickoff! - Oct. 11
Oct 18 & 25 Nov 8,15, 29 Dec 6 | Tuition: $225.00

BMC meetings will take place at The Shul of Bellaire: 5307 Bissonnet St. Bellaire.

Snacks and refreshments included!
APPLICANT'S INFORMATION
Full Name*

First Name Last Name
Hebrew Name*
School*
Date of Birth*

Month Day Year
Current Grade*
Cell Phone Number*

Area Code Phone Number
Previous Jewish Education*

YesNo
If yes - where?
PARENT INFORMATION
Father's Name *
Father's Cell Phone Number*

Area Code Phone Number
Mother's Name*
Mother's Cell Phone Number*

Area Code Phone Number
Home Phone Number

Area Code Phone Number

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail*
Were there any conversions or adoptions in the family?*

YesNo
If yes, please explain:
EMERGENCY INFORMATION
Emergency Contact 1*

First Name Last Name
Phone Number 1*

Area Code Phone Number
Emergency Contact 2*

First Name Last Name
Phone Number 2*

Area Code Phone Number
PAYMENT DETAILS

Registration: $225
Session Selection*

Session 1 - "Links in a Golden Chain"
Sponsorship Opportunities:
Other sponsorship:

$
Total

$225.00

Payment

Credit Card Check

Postal / Zip Code

Country

100% of the proceeds of this donation or payment benefit The Shul of Bellaire.
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