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Bas Mitzvah Course

 

Bas Mitzvah 6 week course is $145.
Last day for early bird price ($125) is April 17.
Registration extended until April 26.
FIRST CLASS April 30.

 

REGISTRATION FORM
General Information
Where did you hear about us
Student's Information
Daughter's First Name *
Last Name *  
Birth Date (MM/DD/YYYY) *  
Approximate time of day when born and location of birth
Daughter's Current Grade  *  
Parents Information
Father's First Name *
Mother's First Name *
Address *
City *
State *
ZIP *
Country *
Home Phone *
Father Cell *
Mother Cell *
Father's Email  *
Mother's Email  *
Additional Information
Which school is your daughter currently attending? *
What are you hoping your daughter will gain in this class? * 
Please choose which course you are registering for *
* = Required Fields
     
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