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B'nai Mitzvah Scheduling Form Bar and Bat Mitzvah This form will need to be submitted to the office, preferably 18 months prior to the proposed date of the B'nai Mitzvah. Name of Bar/Bat Mitzvah:_______________________________ Name of Parent(s):____________________________________ Tentative Bar/Bat Mitzvah date set:_________ (Hazzan Keith Miller_____) Summary of Religious School Education (school name and location): Dates Attended (month/year): __________________________________ _______ to _______ __________________________________ _______ to _______ __________________________________ _______ to _______ __________________________________ _______ to _______ Have preparation classes begun with the Hazzan? yes____ no____ If "yes," when did child begin the lessons? ____________________ Approval by Rabbi: _____________________ ___________ Rabbi Michael Gotlieb Date Approval by Hazzan: _____________________ ___________ Hazzan Keith Miller Date Total Bar/Bat Mitzvah fee of $725.00 must be paid before training begins. All Membership Dues and Fees must be paid at least one full month prior to Bar/Bat Mitzvah. For Office Use Only: Bar/Bat Mitzvah fee paid ____ Standard Kiddush fee paid ____ Current dues paid ____ Videotape fee of $100 (optional) paid ____ ____________________________ Kathie Rose, Executive Director B'nai Mitzvah Handbook Honors Worksheet Torah Blessings

Education Adult Youth » B'nai Mitzvah Parsha by Gura Jewish Holidays Voice Articles Books to Download 1715 21st Street Santa Monica, CA 90404 Phone: (310) 829-0566 Fax: (310) 453-8358 office @ km-synagogue . org

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