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Student Information
Child's First Name
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Child's Last Name
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Child's Hebrew Name
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Male
Famale
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School Grade entering in August, 2024
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School Attending
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Are you interested in the Bar or Bat Mitzvah Program?
Yes, Bar Mitzvah
Yes, Bat Mitzvah
No
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Do you have additional children to apply?
Yes
No
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Family History
Child/ren is/are
Born Jewish
Converted
Adopted
Not Jewish
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Mother is:
Born Jewish
Converted
Adopted
Not Jewish
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Father is:
Born Jewish
Converted
Adopted
Not Jewish
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Parent/Guardian Information
Father's First Name
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Father's Last Name
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Father's Hebrew Name
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Father's Occupation
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Congregational Affiliation, if any
Father's Email Address
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Mother's First Name
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Mother's Last Name
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Mother's Hebrew Name
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Mother's Occupation
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Congregational Affiliation, if any
Mother's Email Address
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References
Reference Name
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Reference Phone
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Relationship to student/family
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Second Reference Name
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Second Reference Phone
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Relationship to student/family
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How did you hear about us?
Received a mailing
A friend
A family member
A class I attended
An Advertisement
Other
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