2027 B'Mitzvah Date Request Form

Find the 2027 B'Mitzvah calendar at this link:

https://images.shulcloud.com/13681/uploads/Documents/bar-bat-mitzvah/2025/2027-BMitzvah-Calendar.pdf

About the B'Mitzvah

Full Name of Student (how it will appear on a certificate and Kiddush cup)

Student's Preferred Name

Student's Hebrew Name

Student's Pronouns

Parent 1 Name

Parent 1 Hebrew Name (if applicable)

Parent 2 Name

Parent 2 Hebrew Name (if applicable)

Student's Date of Birth

Current Religious School Grade

Name of Current Secular School

Secular School Grade

Preferred Parent's Phone Number(s)

Preferred Email (just one, please)

Choices for B'Mitzvah Date in 2027

Please indicate no fewer than five choices on this form, including two in different months. Please note, all five choices will be considered equally. Also, if you are willing to share a date, please indicate which date and with whom you are willing to share. If you know the family you intend to pair with, each family should fill out a complete form and indicate the family with whom you wish to pair.

Choice 1 B'Mitzvah Date

Choice 2 B'Mitzvah Date

Choice 3 B'Mitzvah Date

Choice 4 B'Mitzvah Date

Choice 5 B'Mitzvah Date

We wish to pair with the following family (write n/a if not applicable):

Acknowledgement

We acknowledge that we must register our child for Kesher/Youth Program and pay fees in the years leading up to and in the year of our child’s Bʼ Mitzvah.

Please e-sign below:

Date Signed

Contact Information