2020 TEMPLE ALIYAH B’NAI MITZVAH DATE RESERVATION FORM Today’s Date: ____________________ Child's Name: Gender: __________ Hebrew Name: _________________ Child’s Birthdate: _________________ Name of Current School: ____________________________________________________________ Name of Anticipated Middle School (Required): _______________________________________ 1st Parent / Guardian’s Name: ___________________________________ Gender: Born Jewish Jew by Choice Other Hebrew Name: 2nd Parent / Guardian’s Name: ___________________________________ Gender: Born Jewish Jew by Choice Not Jewish Hebrew Name: Primary Address: ___________________________________________________________________ City: _____________________________________________________________ ZIP: _____________ 1st Parent / Guardian’s Cell: __________________ Email: ________________________________ 2nd Parent / Guardian’s Cell: __________________ Email: ________________________________ *Please know that on a three-day weekend or holiday your child may have his/her B’nai mitzvah with another child. DATE PREFERENCE—PLEASE SELECT THREE DATES (REQUIRED: Based on where your child’s birthday falls on the Hebrew calendar, your choice for a Bar or Bat Mitzvah date could be any time after: 7/30/2020 1st Choice __________________________________ Shabbat Morning Mincha Afternoon 2nd Choice _________________________________ Shabbat Morning Mincha Afternoon 3rd Choice _________________________________ Shabbat Morning Mincha Afternoon * Please note: it is imperative that you supply us with 3 choices of dates. We will do our very best to honor your first choice whenever possible. Continued… Shabbat Morning B’nai Mitzvah Fees: $2580 (subject to change), initial deposit of $860. Includes 8 months of B’nai mitzvah training, sponsorship of Friday Night Oneg Shabbat and Saturday Morning Kiddush Luncheon Families having a Shabbat morning B’nai Mitzvah will be billed their second payment of $860 two years prior to the B’nai Mitzvah date and will be billed the final payment of $860 on July 1st prior to the B’nai Mitzvah date. Mincha B’nai Mitzvah Fees: $1695 (subject to change), initial deposit of $565. Includes 8 months of B’nai mitzvah training and sponsorship of Friday Night Oneg Shabbat. Families having an afternoon (Mincha) B’nai Mitzvah will be billed their second payment of $565 two years prior to the B’nai Mitzvah date and will be billed the final payment of $565 on July 1st prior to the B’nai Mitzvah date. ______________________________________________________________________________ Please complete, sign and return this form along with your contract and one (1) deposit payment to Temple Aliyah for: $860. Shabbat Morning $565. Shabbat Mincha I am enclosing a non-refundable deposit payable to Temple Aliyah for $_______ and understand the schedule of payments for the remainder of the fees. _______ (initial) I also understand that my synagogue dues and fees must be current at the start of instruction as well as at the time of B’nai Mitzvah. _______ (initial) Signed ____________________________________________________Date________________ Please return your deposit and this form to: B’nai Mitzvah Program Temple Aliyah 6025 Valley Circle Boulevard Woodland Hills, CA 91367 .