Bat Mitzvah Lessons

We are currently accepting application forms
for the 2022-23 school year.

If you have any questions or concerns you'd like to discuss with us, please contact us. We look forward to a wonderful year of learning and growth.

Student Profile
First Name
Last Name
Hebrew Name
DOB
School
Grade Entering
Hebrew Reading Proficiency
Previous Jewish Education
Where?

Parent Information
Father's Name
Phone
Mother's Name
Phone
Address
City
State
Zip
Email Address
Emergency Information
Emergency Contact 1
Phone
Emergency Contact 2
Phone
Doctor
Address
Phone
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.
 
Payment Information
Bat Mitzvah Lessons
$75/lesson 

RSF Hebrew School Student
$60/lesson 
Total Amount:

Please consider an added donation to our scholarship fund
Credit Card Number
CVV
Expiration Date

As always, no child will be turned away due to lack of funds! SCHOLARSHIP AVAILABLE
Authorization
Transport / Emergency Care as listed above Authorization