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ב"ה

Bar Mitzvah Family Program

Chabad Israel Center of Boca Raton, Florida
B"H

Mazal Tov Application to Join the Bar Mitzvah Family Program of the Chabad Israeli Center of Boca Raton, Florida
Please fill in the details
Full Name:*
First Name Last Name
Father's Name:*
First Name Last Name
Hebrew Date of Birth:*
English Date of Birth:*

Address:

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Your Phone Number:*

Area Code Phone Number
Your E-mail:*
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School Name:*
Grade:*
As part of the Bar Mitzvah Project, you will receive a tallit and tefillin, a siddur and Tehillim, and you will participate in a unique Bar Mitzvah event.

It is understood that participation in the Bar Mitzvah Project requires attending a preparation course on scheduled dates, and participation is mandatory.

I hereby grant permission to the Chabad Israeli Center of Boca Raton to use photos and videos.

I heard about the Bar Mitzvah Project through the Rabbi
*

I accept and would like to continue.
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