Printed fromChabadHouse.org.au
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Bat Mitzvah Course Enrolment Form

  • CHILD INFORMATION 

  • AUTHORISATION

  • MEDICAL CONDITION & DIETARY RESTRICTION 

  • If yes, you MUST email a colour copy of your child’s Action Plan to [email protected] and ensure they bring their medication to each lesson.

  • ADDITIONAL INFORMATION

  • PARENTS/GUARDIAN DETAILS

    PRIMARY PARENT/GUARDIAN

  • SECONDARY PARENT/GUARDIAN 

  • ADDITIONAL/EMERGENCY CONTACTS

    (Minimum 2 required)

    Please enter additional contacts for this enrolment. This may include emergency contacts when you are unavailable to be contacted in the case of an emergency. E.g for medical authorisations, to authorise staff to remove the child form the facility or for any other emergencies. This may also include authorised nominees who may drop off or pick up this child or authorise excursions.

  • ADDITIONAL/EMERGENCY CONTACT 1   

  • ADDITIONAL/EMERGENCY CONTACT 2 

  • MEDICAL CONTACTS 

    Please enter your child's Doctors information. You should enter medical contact here.  

  • DOCUMENTATION

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

  • CHABAD NORTH SHORE ENROLMENT AGREEMENT 

    By signing below, I confirm,

    I indemnify Chabad North Shore against responsibility for any accident, loss or injury suffered by my child/ren during the course of the activities.

    I expressly release Chabad North Shore, its employees or officers from any claim or liability arising directly or indirectly from the enrolled program.

    I will pay for the course in full based on the payment plan I select below. 

    That my child will be photographed and videoed for the purposes of recording the wonderful services we offer, and sharing this information with our parent-body, and for encouraging the attendance of others within our community. If you specifically do not want pictures of video clips of your child/ren shared, please contact Rebbetzin Fruma Schapiro - [email protected] to discuss.

  • SHULE CEREMONY

    Most families celebrate their child's Bat Mitzvah with a ceremony in Shule. This is a beautiful chance for all your family, friends and the community to celebrate the Simcha with you.

    Shule Ceremony's typically include a Dvar Torah (Rebbetzin Fruma will prepare your daughter for that at an additional charge of $85/lesson) a dedicated speech by the Rabbi to the Bat Mitzvah girl, A siddur presentation, a sponsored kiddush (with the opportunity for the parents to speak) and for Shabbat day celebrations - call-ups to the Torah.

  • MEMBERSHIP INFOMRATION

    Members of Congregation Beit Menachem pay $350 less for the course and do not need to pay an additional fee for the Shule service (plus other membership benefits). 

  • PAYMENT INFORMATION

    The Bat Mitzvah Course costs $1350 ($1000 for members of Congregation Beit Menachem - Chabad's Shule) A deposit of $250 is taken upon registration. The money will go towards the fees of the course. The remainder of the payment is charged based on the payment plans you choose below.

  • Credit Card
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