Bar Mitzvah Registration

Child's Information

Full Name*

First Name Last Name

Date of Birth*

Day Month Year

Time of birth (am or pm)*

Was your child born through natural conception?

We want to help ensure that children are halachically Jewish, so that there is no doubt in the future, especially for milestone events like Bar Mitzvah & Marriage. As a rule, Jewish Status is transmitted through the mother. Today, different modes of conception (IVF), surrogacy and adoption can sometimes affect this status and we are committed to supporting families through this process. Feel free to call Reuvi on 0425-809-642 for more info.

Hebrew Name (if known)

Hebrew Date of Birth (if known)

Bar Mitzvah Ceremony will be on

Day Month Year

Parshat

Shacharit - Morning ServiceMincha - Afternoon / Evening Service

PARENTS’ INFORMATION

Please note, if parents are separated/divorced we must have consent from both parents before booking the Bar Mitzvah. Also, please include both parents’ contact details for individual advice on events occurring at Chabad.

Mothers Information

Full Name*

First Name Last Name

Hebrew name (if known)

Address*

Street Address
Street Address Line 2
Suburb	State
Postcode	Country

E-mail*

Phone Number*

Area Code Phone Number

Are you Jewish?*

Are there any conversions to Judaism in your family? If applicable, please send in a copy of proof of conversion

Conversion Document

Fathers Information

Full Name*

First Name Last Name

Hebrew Name (if known)

Address*

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

E-mail*

Phone Number*

Area Code Phone Number

Are you Jewish?*

Are there any conversions to Judaism in your family? If applicable please send in a copy of proof of conversion.

Conversion document

Both Parents

Synagogue where married

Officiator

We require a copy of your Ketubah (marriage certificate) or of the maternal grandparents to be attached.

Ketuba

Family information: In the week leading up to the Bar Mitzvah we like to wish Mazal Tov to you and your family in our weekly community email

Please provide the names of grandparents and great grandparents if applicable.

Thank you.

Grandparents

Great Grandparents

PAYMENT

An amount of $300.00*for Current Seat Holders (or $500 for non seat holder) is payable to secure your son’s Bar Mitzvah Date and for the use of the Shul & Kiddush hall (extra rooms may incur an extra charge).
This fee is non-refundable.

*If you are experiencing financial difficulties, please advise us to discuss.

Current Seat Holder

$300 AUD

Non Seat Holder

$500 AUD

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

Suburb

State

Postcode

Country

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Bar Mitzvah Registration

Shul

Youth

Our Giving Kitchen

Chabad Malvern Early Learning Centre

Bar/Bat Mitvah

Mikvah