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Beyond Bat Mitzvah Club Registration Form

Beyond Bat Mitzvah Club Registration Form

Beyond Bat Mitzvah Club

Sundays
6:30-7:45pm
at The Chabad Center
1925 Kresson Rd.

Click for the Beyond Bat Mitzvah Club Calendar

Registration form

Girl's name:

Last Name

First Name

Hebrew Name

E-mail

Date of Birth:

MM/DD/YYYY

Time (morn. or eve.)

Grade / School

Hebrew School

Parents:

Parents Name

Parents Hebrew Name

Address

E-mail

Home #

Work #

Cell #

Any conversions in the family

Cost:
$200 per club member (Includes all session and activities)

Payment:

I will mail in a check to:
The Chabad Center
1925 Kresson Rd.
Cherry Hill, NJ 08003
Payment

Amex Mastercard Visa Discover

$ Total amount

Card Number

Expiration Date (MM/YYYY) - Must be filled out in this format

First Name on card

Last Name on card

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Questions or comments

For information please contact us at
856-874-1500 or email
shterna@thechabadcenter.org

 

 

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