Bar / Bat Mitzvah Information Student's First Name * Student's Last Name * Gender * Male Female Date of Birth * Hebrew Birth Month * Tishrei Cheshvan Kislev Tevet Shvat Adar Adar 1 Adar 2 Nissan Iyar Sivan Tammuz Av Elul Hebrew Birth Date * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Date of actual Bar / Bat Mitzvah * The civil calendar date of your child's actual 12th / 13th Hebrew birthday [Boys] Where will your son be putting on Tefillin for the first time? In school (at the school Minyan) Not in school Date of First Tefillin * [Boys] Will your son be having a "First Aliya" at the school? yes no Date of First Aliya * Many families choose to celebrate their simcha at school with a "breakfast" for the Middle School. What are your plans? * We want to celebrate our son's first Tefillin with a breakfast We want to celebrate our son's first Aliya with a breakfast We want to celebrate both our son's first Tefillin and his first Aliya with breakfasts We want to celebrate our son's simcha with a breakfast on a different date We want to celebrate our daughter's Bat Mitzva with a breakfast We will celebrate outside school / without breakfast Date of breakfast * Are you planning a Shabbat celebration? * yes no Shabbat date * Are you planning a reception / party? * yes no Reception Date * Approximate time Is there any other date we should be aware of? yes no Other celebration date * What will be happening on that date?