TE B’nei Mitzvah Scheduling Form

Class of 2026-27

The information collected below will be used in the Bar/Bat Mitzvah scheduling process for your child who will be turning 13 during the years of 2026-2027. Please contact Tessa Amantiado if you have questions as you complete this form.

Please respond to this form by December 22, 2023.

Child’s full English Name:(Required)

Child’s Pronoun:(Required)

Child’s full Hebrew Name:(Required)

(Transliteration)

Child's Birth Date(Required)

Child's Current Elementary School(Required)

Child's Current Grade(Required)

My child is currently enrolled in the following Jewish education program:(Required)

This is required to recieve a BM date

Temple Emanuel Religious School

Solomon Schecter Day School

Rashi School

JCDS

Other

If you selected other, please enter the Jewish Education Program below:(Required)

Child's Expected Middle School(Required)

Parent 1 Name(Required)

First Last

Parent 1 Email(Required)

Parent 1 Phone(Required)

Parent 2 Name

First Last

Parent 2 Email

Parent 2 Phone

Please advise us of any special circumstances relevant to scheduling your date, or any periods of time which present conflicts for your family. Please note that your child may be assigned to share a date and we are unable to accommodate requests for single-only dates. If you must request a specific date, please try to give more than one option, as we cannot guarantee that all dates are available. Please consider this carefully as it is difficult to change dates once they have been assigned. Thank you for your cooperation.

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TE B’nei Mitzvah Scheduling Form

Class of 2026-27

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