Bat Mitzva Club

Childs Name Name*
First Name Last Name
Childs E-mail Address
Child's Birth Date*

Day Month Year
School Attending*
Year
Does your child have any specific challenges you'd like us to be aware of?
Does your child have any allergies or other medical condition we should be aware of?
Parents
Parent 1*
Prefix First Name Last Name
Parent 1 E-mail *
Parent 1 Mobile*
Parent 2
Prefix First Name Last Name

Address*

Date of Bat Mitzvah

Day Month Year
Permissions*

Chabad GG has my permission to arrange for any necessary first-aid or medical care in the event of an emergency.
*

Chabad GG has my permission to use my child's photo in its publicity materials.
Declaration*

I confirm that the mother of the above-named child is Jewish as defined by the London Beth Din and the office of the Chief Rabbi.
Upload a copy of the ketubah of the child's parents or maternal grandparents**
Course Price (9 Sessions)

£180
Add a Donation?

£180£360£540
Total

£180.00

Payment

Credit Card Paypal

Postal / Zip Code

Country

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Parents