Please fill out the form below to begin the registration process. Once your form is submitted, Rabbi Yossi will be in touch directly to confirm details and, book your B’nai Mitzvah date, arrange payment (A 50% deposit of $1,200 is due upon booking), and register your child for the Year of Living Jewishly program.

Parents #1 Name *

First Name

Last Name

Parents #1 Hebrew Name

First Name

Last Name

Parent #1 Email *

Parent #1 Phone *

(###)

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Parents #2 Name

First Name

Last Name

Parents #2 Hebrew Name

First Name

Last Name

Parent #2 Email

Parent #2 Phone

(###)

###

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Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

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Childs Name *

First Name

Last Name

Childs Hebrew Name

First Name

Last Name

Gender *

Childs Birth Date *

YYYY

Please list the school(s) your child has recently attended and the years they attended each school *

Attended Hebrew School *

Yes

If yes, how many hours per week?

Has a Bar/Bat Mitzvah Tutor been selected? *

Yes

Do you need help selecting a Bar/Bat Mitzvah Tutor? *

Yes

Bar/Bat Mitzvah Tutors Name

First Name

Last Name

Bar/Bat Mitzvah Tutors Name

(###)

###

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Bar/Bat Mitzvah Tutors Email

Is family a member of a Synagogue? *

Yes

If yes, which?

Date of Bar/Bat Mitzvah (1st choice) *

YYYY

Date of Bar/Bat Mitzvah (2nd choice) *

YYYY

Time *

Shabbat Morning

Shabbat Twilight

Friday Night

Sunday

Other

Proposed Time/Location of Service *

Region of parents: Born Jewish? All are welcome. Feel free to share details if you wish.

Your Vision

I look forward to working with you to make your day meaningful, traditional, and a true celebration of your child's success. Feel free to describe your vision, share concerns, of just describe what's important to you.

Is there anything else you want me to know?

Thank you!

Fee and Deposit

The fee for a B'nai Mitzvah event is $2400.00. Etransfer is preferred to Yossi@livingjewishly.org or by cheque.

Travel and exceptional circumstances may modify the fee.

50% of fee is payable upon booking and the balance is due 30 days before the B'nai Mitzvah date.

Charitable Registration
# 72555 0727 RR001

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