Bar or Bat Mitzvah Date Reservation Request

Thank you for choosing to celebrate your simcha at Chabad!
Please use this form to request the date for your simcha. We do not reserve more than one bar or bat mitzvah on any date, but there may occasionally be other simchas that week (bris, baby naming, aufruf) that may need to be held on the same Shabbos.
We will send a form with kiddush and event specifics closer to the date of your simcha.
Parent Full Name*
First NameLast Name
E-mail*
Phone Number*
Area CodePhone Number

Address

Name of Bar or Bat Mitzvah*
Date of Simcha*
MonthDayYear
Parsha for that Week*
Payment Information
Tax-deductible Bar/Bat Mitzvah Fee ($300 for members, $500 for non-members)*
$300$800
Total
$0.00

Payment*

Credit Card Check

Postal / Zip Code

Country

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Payment Information