Bat Mitzvah Club - Chabad Merrimack Valley

Are you all caught up with the theme, the clothing and the party favors but clueless about the meaning? Do you think a Bat Mitzvah ends or begins with your party?
Join the Bat Mitzvah club and find out!

Here girls learn about Judaism, meet other Jewish girls the same age and have loads of fun! Come Join the #1 new club 'For girls, run by girls, starring girls' empowering the members with responsibility and confidence. All girls ages 11-13 are welcome-regardless of any additional Bat Mitzvah planning you are doing.


Club meets on the 3rd Wednesday of each month | 7:00pm - 8:30pm
at Chabad Hebrew School 10 Marwood Dr. Andover

We look forward to a wonderful year of learning and growth.

Please fill out your information below:

APPLICANT'S INFORMATION
First Name   Last Name
Hebrew Name   D.O.B.
School   Grade Entering
Cell Phone Number      
Previous Jewish Education Yes No If yes - where?

PARENT INFORMATION
Father's Name   Father's Cell
Mother's Name   Mother's Cell
Address   City, State, Zip
City State Zip
Home Phone   Email
Were there any conversions or adoptions in the family? Yes No
If yes, please explain:

EMERGENCY INFORMATION
Emergency Contact 1   Phone
Emergency Contact 2   Phone


CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.



As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Bat Mitzvah Club to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Bat Mitzvah Club personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all club activities, join in club trips on and beyond Chabad properties and allow my child to be photographed while participating in Bat Mitzvah Club activities and that these pictures may be used for marketing purposes.

I Accept

Name:
Initials:

PAYMENT DETAILS
• Club Cost for the year 2017/2018 will be $125, which includes all supplies and materials.
Name on card   Card Type
Charge Amnt.   Card Number
Exp. Date   CVV Code 3 digits on back of card


For more information please contact Faigy at 978 470 2288 or email bmc@chabadmv.com