Bar Mitzvah Lessons

EVENT HOST:_____________________________ EVENT DATE: __________________

Bar Mitzvah Boys: English Name:_____________ Hebrew Name:_______________

HOME ADDRESS: ________________________________________________________

PHONE NUMBERS: Mother:____________________ Father:______________________

Bar Mitzvah Boy’s Name: __________________________________________________

English Birthday:____________ Hebrew Birthday:___________ Convert Adopted

Father’s Full Name: _______________________________________________________

Cohen Levi Israel

BAR MITZVAH LESSONS:

Check where applicable:

Unlimited Weekly Bar Mitzvah Lessons

 $1,000 (Member)

 $1,200 (Non Member)

Pay Per Lesson (45 minutes)  Minimum of 10 Classes $500

Each additional  $50 per lesson

TOTAL: ___________

Please submit payment by clicking here.