Bar Mitzvah Lessons 2025

Bar Mitzvah Student Information:
Full Name*
First Name Last Name
Hebrew Name
Date of Birth*

Month Day Year
School*
Grade Entering*
Previous Jewish Education
Where?
Parent Information:
Father's Name*
First Name Last Name
Father's Phone Number*

Area Code Phone Number
Father's E-mail*
Is father Jewish?
Is paternal grandmother Jewish?
Mother's Name*
First Name Last Name
Mother's Phone Number*

Area Code Phone Number
Mother's E-mail*
Is mother Jewish?
Is maternal grandmother Jewish?
Emergency Information:
Emergency Contact 1*
Phone Number*

Area Code Phone Number
Emergency Contact 2*
Phone Number*

Area Code Phone Number
Doctor*
Phone Number*

Area Code Phone Number
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:
Bar Mitzvah lesson Registration: (Up to 25 lessons) *

Full Payment $20005 Monthly Installments $400/monthRSF Hebrew School Student Discount: $18005 Monthly Installments $360/month
Please consider an added donation to our scholarship fund
Total

$400.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

This page uses TLS encryption to keep your data secure.