Skip to main content
About Us
Who We Are
Meet Our Team
Annual Report
Volunteer
New Volunteer
Current Volunteer
Bar/Bat Mitzvah Project
Get Involved
New Member With Special Needs
Current Member With Special Needs
Events
Contact
Donate
Make a Donation
Monthly Giving
Dedicate a Program
Annual Report
The Friendship Walk!
Part 3 - BAR/BAT MITZVAH PARTICIPANT'S INFORMATION:
First Name
*
Last Name
*
Hebrew Name
*
Gender
*
Female
Male
Birth Date (Please double check that the correct date is recorded)
*
Time of Birth - We use the time and place of birth to calculate your Jewish birthday which is the earliest date you can celebrate your Bar/Bat Mitzvah
*
City and Country of Birth
*
Cell Phone (Please only fill in if participant has a personal cell number)
Email (Please only fill in if participant has a personal email address)
Religion
*
School
*
Grade
*
If parents live apart, please indicate which parent the participant lives with (otherwise, leave blank)
Are you celebrating your Bar/Bat Mitzvah in New York?
*
Yes
No
Are you celebrating your Bar/Bat Mitzvah in a synagogue?
*
Yes
No
If yes, which one?
Are you learning with anyone else or doing another project for your Bar/Bat Mitzvah?
*
Yes
No
If yes, please specify
How did you hear about Friendship Circle?
*
Please list any allergies (medical, environmental, pet, etc) or medical conditions
*
Upload Picture of Volunteer
*
Please provide an alternate emergency contact in case neither parent can be reached
First and Last Name
*
Cell Phone
*
Relationship to Participant
*
SUBMIT
Cancel
Friendship Circle Upper East Side
office@friendshipcirclenyc.org
|
929.207.4370
|
419 East 77th Street, New York NY 10075
Powered by
ChabadSuite
log in