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13|83 Family Intake
Who is filling out this form?
*
A
I am the parent or guardian
B
I am the b'nai mitzvah student
Your name?
*
Your child's name?
*
When is your child's b'nai mitzvah ceremony?
*
What city and state are you in?
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Your email address?
*
How would you describe your Jewish background?
*
A
Unaffiliated — Jewish but not connected to a synagogue
B
Reform or Conservative
C
Orthodox or Traditional
D
Other — I'll share more when we speak
Are you open to a global match — your child paired with an elder in Israel?
*
A
Yes — that sounds meaningful
B
We'd prefer a local match
C
Not sure yet
What are you hoping this experience gives your child?
How did you hear about 13|83?
*
A
From a synagogue or rabbi
B
From a friend or family member
C
Online or social media
D
Other
Thank you. Someone from our team will be in touch within two business days. We'll find the right match for your family.
Submit