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20-21 5th Grade Mitzvah Date Selection
Please verify reCaptcha before submitting the form.
Bar and Bat Mitzvah
Date Selection Form
Congregation of Reform Judaism
2020-2021 Fifth Graders
Please complete the form by January 8, 2020* to:
* Please note-if a completed form is not received by January 8th, a date will be assigned
*
Bar/Bat Mitzvah’s Name
*
Child's Date of Birth
(mm/dd/yyyy)
*
Current Grade (20-21 School Year)
*
School attending for 5th Grade
*
School attending for 6th Grade
*
When did your child begin Hebrew School? Where did they attend Hebrew School
Please list names & dates
*
Parent 1: Name
*
Parent 1: Cell Phone
*
Parent 1: Email
*
Parent 2: Name
*
Parent 2: Cell Phone
*
Parent 2: Email
*
Would you prefer to pair with someone else?
Please choose
Yes
No
*
Is there a specific person you want to be paired with?
please choose
Please pair me with someone
We have a specific person we would like to pair with
If you don't have a specific person in mind the Rabbi will make sure to pair your child with a child who compliments your son or daughter.
*
I would like to be paired with....
*
Please select your 1st choice of date:
Please choose
August 20, 2022
September 10, 2022
October 15, 2022
October 29, 2022
November 5, 2022
November 12, 2022
December 3, 2022
December 10, 2022
December 17, 2022
January 21, 2023
January 28, 2023
February 4, 2023
February 11, 2023
February 25, 2023
March 4, 2023
March 25, 2023
April 1, 2023
April 15, 2023
April 22, 2023
April 29, 2023
May 6, 2023
May 13, 2023
May 20, 2023
June 3, 2023
June 10, 2023
August 19, 2023
August, 26, 2023
September 30, 2023
October 14, 2023
October 21, 2023
October 28, 2023
November 4 2023
November 11, 2023
November 18, 2023
*
Please select your 2nd choice of date:
Please choose
August 20, 2022
September 10, 2022
October 15, 2022
October 29, 2022
November 5, 2022
November 12, 2022
December 3, 2022
December 10, 2022
December 17, 2022
January 21, 2023
January 28, 2023
February 4, 2023
February 11, 2023
February 25, 2023
March 4, 2023
March 25, 2023
April 1, 2023
April 15, 2023
April 22, 2023
April 29, 2023
May 6, 2023
May 13, 2023
May 20, 2023
June 3, 2023
June 10, 2023
August 19, 2023
August 26, 2023
September 30, 2023
October 14, 2023
October 21, 2023
October 28, 2023
November 4, 2023
November 11, 2023
November 18, 2023
*
Please select your 3rd choice of date:
Please choose
August 20, 2022
September 10, 2022
October 15, 2022
October 29, 2022
November 5, 2022
November 12, 2022
December 3, 2022
December 10, 2022
December 17, 2022
January 21, 2023
January 28, 2023
February 4, 2023
February 11, 2023
February 25, 2023
March 4, 2023
March 25, 2023
April 1, 2023
April 15, 2023
April 22, 2023
April 29, 2023
May 6, 2023
May 13, 2023
May 20, 2023
June 3, 2023
June 10, 2023
August 19, 2023
August 26, 2023
September 30, 2023
October 14, 2023
October 21, 2023
October 28, 2023
November 4, 2023
November 11, 2023
November 18, 2023
Thu, April 25 2024 17 Nisan 5784
