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Bar Mitzvah Academy – Enrollment Form

Student’s Full Name

Date of Birth

Current Grade in School

Hebrew Reading Ability

Hebrew Reading Ability
A
B
C
D

Parent/Guardian 1 Name

Relationship to Student

Relationship to Student
A
B
C
D

Email

Phone Number

Parent/Guardian 2 Name

Relationship to Student

Relationship to Student
A
B
C
D

Email

Phone Number

Was the student's mother born Jewish?

Was the student's mother born Jewish?
A
B
C

If converted, denomination/details

Jewish Affiliation

Jewish Affiliation
A
B
C
D
E
F

Goals for your child’s Bar Mitzvah experience

Goals for your child’s Bar Mitzvah experience

Other goals (optional)

Would you like to explore Jewish learning as a parent?

Would you like to explore Jewish learning as a parent?
A
B
C

Bar Mitzvah Academy Tuition

Program Tiered Tuition: We offer three monthly pricing tiers to make Bar Mitzvah Academy accessible to as many families as possible:

• Community Tier – $50/month: A reduced rate for families who need it. Includes full access to live weekly classes, all digital materials, and ongoing support—nothing is left out.

• Standard Tier – $75/month: This is the actual cost of running the program. If you’re able to pay this amount, it helps us continue offering high-quality content and support to every student.

• Supporter Tier – $100/month: For families who are able and willing to help sponsor others. You’ll receive everything in the Standard Tier, plus our heartfelt thanks for making this program possible for more children.



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Consent & Submission

Consent & Submission