Bat Mitzvah Registration Form Contact Information Name Hebrew Name Birthday (MM/DD/YYYY) Grade Bat Mitzvah Celebration Date, if known (MM/DD/YYYY) Email Address Parent/Guardian Information Name Street Address City, State, Zip Home Phone Cell Phone Emergency Contact Information, Name, Phone The annual fee for Bat Mitzvah Club Members is $100.00 (scholarships are available). Make all checks payable to Central Avenue Synagogue or Pay on-line by credit card by clicking here. Comments This page uses 128 bit SSL encryption to keep your data secure.
