Bar Mitzvah CLUB Registration

BMX Bar Mitzvah Experience runs on every Second Sunday during school terms starting on FEB 14 2021.
On the weeks that there is no BMX - Rabbi Haller will be in touch with you to rehears your torah portion etc.
Student Information
Full Name*
First NameLast Name
Hebrew Name*
First NameLast Name
Birth Date*
DayMonthYear
School*
Year Level in 2021
Previous Jewish Education

Address*

Additional notable InformationPlease let us know if there are any allergies or other important information we need to be aware of.
Parents Information
Father's Name*
First NameLast Name
Father's Cell*
Phone Number
E-mail Father
Mother's Name*
First NameLast Name
Mother's Hebrew Name
Mother Jewish by:*
BirthChoice
Name of Rabbi who performed conversion
Mother's Cell*
Phone Number
E-mail Mother
I am willing to assist in activities, please contact me
I hereby authorise Chabad Dingley staff and/or volunteers to photograph my child and use the photographs for promotional purposesI hereby authorise a Chabad Dingley staff and/or volunteer to obtain any medical care necessary for my child, including from a medical practitioner, hospital or ambulance service. I understand that transportation to receive medical care may include an ambulance and I agree to pay for any costs involved with seeking medical care for my child. I understand that in the case of an emergency of significant illness or injury attempts will be made to contact myself or an authorised nominee, as soon as practical*
Payment
Fees will be charged at the beginning of each term
Fees will be charged before every term*
$100 per term for just the Bar MitzvahClubor $280 per term for the Bar Mitzvah Club & your Parsha Lessons
No child will be turned away due to lack of funds. Contact us if you need assistance.

Payment

Credit Card Bank Transfer

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BMX Registration