Registration        
  Registration Form for Bar Mitzva at the Kotel

Please complete the attached form and we will be in touch with you as soon as possible.
 
Bar Mitzva child's name
Family name
Address
City
Country
e-mail
Telephone
Date of birth  
 Hebrew Birth Date (if known)
Was Mother of Bar Mitzvah boy born Jewish?   
Select     Yes     No 
How would you define yourself?
Observant   Traditional   Secular 
Will the Bar Mitzvah boy be reading from the Torah?   
Maybe     Yes     No 
Date of visit to the Western Wall
   
Preferred time of services :
Name of contact person
Telephone
Cell phone
Referred By
Comments:

 
           
 
 
 
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