Bat Mitzvah Course Enrolment Form

1. ABOUT YOUR DAUGHTER

Daughter's Full Name*

First Name Last Name

Hebrew Name (if known)

Date of Birth*

Day Month Year

School*

School Year (2026)*

Daughter's Email

Daughter's Mobile

Has your daughter had any previous Jewish education? If yes, please tell us briefly.

Natural mother Jewish?*

YESNO

Conversions/adoptions?*

YESNO

PARENTS/GUARDIAN DETAILS

Parent/Guardian 1

Full Name*

First Name Last Name

Relationship to child*

Mobile*

Email*

Address*

Street Address
Street Address Line 2
City	State / Territory
Post Code	Country

Parent/Guardian 2

Full Name*

First Name Last Name

Relationship to child*

Mobile*

Email*

Address If different from Primary Parent/Guardian

Street Address
Street Address Line 2
City	State / Territory
Post Code	Country

Additional Information

Is there anything we should know to help your daughter have the best possible experience? For example: learning needs, accessibility requirements, family circumstances or other relevant information.

Planning a Bat Mitzvah at Chabad?

Most families choose to celebrate their daughter’s Bat Mitzvah with a ceremony at Chabad North Shore.

A Shule ceremony includes:

Dvar Torah delivered by the Bat Mitzvah girl
Personal address from the Rabbi
Siddur presentation
Opportunity for parents to speak
Sponsored Kiddush
For Shabbat morning celebrations, family call-ups to the Torah

Ceremony fee
Chabad Shule members: Included with membership
Non-members: A donation is requested to hold the ceremony in Shule. Suggested donation for a Bat Mitzvah is $500.

Dvar Torah preparation
If you would like your daughter to deliver a Dvar Torah, Rebbetzin Fruma Schapiro can prepare it with her in individual lessons. $85 per lesson.

Kiddush Sponsorship
Families can choose from the available Kiddush options. Pricing and arrangements are discussed separately with the office.

Fees at a Glance

	Members	Non-members
Bat Mitzvah Course*	$1,000	$1,350
Shule Ceremony	Included	Donation
Dvar Torah preparation	$85/lesson	$85/lesson
Kiddush Sponsorship	By arrangement	By arrangement

* Course enrolment requires a $250 deposit, which goes towards the course fee.

Are you considering holding your daughter’s Bat Mitzvah ceremony at Chabad?*

YesNoMaybe — I’d like to know more

What would be your service of preference?*

Friday NightShabbat MorningNot sure yet

Preferred Bat Mitzvah date If you have a date in mind, please enter it below. This is not a confirmed booking.

Day Month Year

Are you currently a member of Chabad's Shule?*

YesNo

Would you like to become a member?

Yes! Please contact me with more informationNot at the moment, but may be interested at a later stageNo

DOCUMENTATION

Please bring-in your original Ketubah or that of your parents (Jewish marriage certificate) and your child’s birth certificate.

To complete your daughter’s enrolment, please provide the following documents where applicable.

Proof of Jewish status
Please email a copy of the following:

Mother’s Ketubah (original must be brought into office as well)
Mother’s birth certificate
Daughter's birth certificate
Conversion documentation, if applicable

If you're do not have all documentation at this time, please complete the form and we’ll contact you.

Terms and Conditions

By submitting this enrolment, I:

Give permission for my daughter to participate in the Bat Mitzvah Course and associated activities.
Agree to pay the course fees according to the payment arrangement selected above.
Acknowledge that Chabad North Shore will take reasonable care during all activities and release and indemnify Chabad North Shore, its employees and officers from claims arising from my daughter’s participation in the program.
Give permission for photos and videos of my daughter taken during the program or associated activities to be used by Chabad North Shore for community and promotional purposes. If I do not wish for my daughter’s image to be used, I will contact Rebbetzin Fruma Schapiro.
Confirm that the information provided in this form is true and correct and agree to provide any required supporting documentation.

By entering my full legal name below, I confirm that I have read and agree to the above.

I have read and agree to the Terms & Conditions above.*

Yes

Parent/Guardian Full Legal Name*

Course Enrolment & Payment

Rosh Hashanah Enrolment Offer
Complete your daughter’s enrolment by Rosh Hashanah and receive $100 off the course fee.

	Members	Non-members
Course Fee	$1,000	$1,350
Deposit Due on Enrolment	$250	$250

The $250 deposit forms part of the total course fee and is not an additional charge.

Payment Options* Chabad Shule Member's discount applied

Pay Deposit: $250Pay Full Course Fee: $1000 todayPay Deposit and the balance in 2 instalmentsPay Deposit and the balance in 3 instalmentsPay Deposite and I would like to speak to someone about an alternative payment plan

Payment Options*

Pay Deposit: $250Pay Full Course Fee: $1350 todayPay Deposit and the balance in 2 instalmentsPay Deposit and the balance in 3 instalmentsPay Deposite and I would like to speak to someone about an alternative payment plan

Total

$0.00

Payment Details

Payment Method*

Credit CardDirect Debit

*

Credit Card

We accept Visa, MasterCard, American Express
Credit Card Number	Security Code
Expiration Month	Expiration Year

Bank:*

Account Name:*

BSB:*

Account Number:*