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Bar/Bat Mitzvah form
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Are you interested in Bar or Bat Mitzvah preparations?
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Bar Mitzvah
Bat Mitzvah
Name of the child
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Your answer
Name of the Parent
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Your answer
Are both parents of the child Jewish?
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Your answer
What level of Jewish education does the child have?
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No Jewish education at all
Goes or has gone in the past to a Jewish school
Minimal Jewish education from the home
No education but knows how to read Hebrew
Phone number to best contact a parent
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Your answer
Email to best contact a parent
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Your answer
Age of the child
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Your answer
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