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Bat Mitzvah Club Registration

Bat Mitzvah Club Registration



Child's Information 

English Name

Hebrew Name 
Date of Birth    Morning  Evening
Jewish Birthdate (if Known)  Calculate
Entering Grade
Name of School


Schedule of fees:


$250 (Includes all sessions, supplies and snacks.)


Terms of Payment:


I will send a check (Please send this completed form to: The Bat Mitzvah Club C/O Lubavitch of NC 6619 Sardis Rd. Charlotte, NC 28270).
Please charge my credit card: Click Here to make Payment online 



In the event of an emergency, Lubavitch of NC has my permission to arrange for any necessary first aid or care by a licensed physician for my child while he/she is attending the program.

Signature of parent or legal guardian.


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