2025-2026 B' Mitzvah Registration Form - Form

Welcome to the Ben and Bernice Fiterman B’ Mitzvah Program at Beth El Synagogue! This is a unique
and memorable time in the life of your family and we are delighted to be on this journey with you.

Our program goes beyond the customary skills of chanting Torah/Haftarah and leading prayers. Through family education, Shabbat experiences, individualized learning, and mitzvah programs, our program offers your family a chance to feel the rhythm and depth of Jewish life. It is our hope that by taking advantage of the full B’ Mitzvah Program, your child(ren)’s B' Mitzvah will be a steppingstone to a more meaningful connection to Judaism in your home and within our community.

This B' Mitzvah Registration Form must be completed in order to receive a B' Mitzvah date for your student later this spring. A non-refundable deposit will be required upon the Date Acceptance agreement.

Beth El embraces the diversity of our community. As well, we embrace those who learn and communicate in diverse ways. If you have questions about any special accommodations your child(ren) might require in our program, please reach out to us at any time.

We look forward to welcoming your child(ren) as part of our program!

Rabbi Alexander Davis Rabbi Julie Schwarzwald Rabbi Matthew Goldberg

Will this be your family's first time going through our B' Mitzvah program?

Please select oneYesNo

Have you had another child become b' mitzvah at another congregation?

Please select oneYesNo

* How many students will you be registering?

PHOTO UPLOAD

Color Photo of Your Child: Please upload a .JPG image. Must be 2 1/2” x 3 1/2” at a minimum and 300-600 dpi resolution. This photo will be used in the class directory.

* Student 1 Full Name (including middle name)

Student's Phonetic Name(Optional)

(i.e. "Lay-uh" versus "Lee-ah", so we may pronounce names properly)

Student's Preferred Name:

Optional

* Student's Email:

NOTE: We must have different email addresses for each student in order for our B' Mitzvah software to recognize and create entries for each one.

* Student 1 Hebrew Name

(Type the English transliteration of the Hebrew name, or use the Hebrew keyboard to add the name.)

Hebrew Name Includes: Hebrew First Name, bat/bar/bnai, Parent 1 Hebrew First Name, Parent 2 Hebrew First Name. If any parent/guardian or grandparent is a Jew by Choice, please list "Avraham Avinu" as father's Hebrew name and "Sarah Emeinu" as mother's Hebrew name. If any parent/guardian or grandparent is not Jewish, leave Hebrew name fields blank.

Student's father is a:*

KohenLeviIsraelN/A*If you are unsure, ask the student's paternal grandfather(if possible). If you have no way to know, select Israel.

* Student 1 Birthdate

Birth Time*

Before SunsetAfter Sunset*This is necessary to calculate both the student's hebrew birth date, as well as the earliest possible date for bar/bat mitzvah.

Gender

MaleFemaleNon Binary

Personal Pronoun(s)

He/HimShe/HerThey/ThemPlease feel free to check multiple pronoun sets if your child uses more than one.

Considering Celebrating in Israel?

YesNo

* Grade Level (Fall 2025)

* Which Jewish school does your child attend?

* We authorize Heilicher/Talmud Torah to communicate with our synagogue regarding our child(ren)

Please list other children in the household with their grade level as of September 2025 and their date of birth.

PHOTO UPLOAD

Color Photo of Your Child: Please upload a .JPG image. Must be 2 1/2” x 3 1/2” at a minimum and 300-600 dpi resolution. This photo will be used in the class directory.

* Student 2 Full Name (including middle name)

Student's Phonetic Name(Optional)

(i.e. "Lay-uh" versus "Lee-ah", so we may pronounce names properly)

Student's Preferred Name:

Optional

* Student's Email:

NOTE: We must have different email addresses for each student in order for our B'nai Mitzvah software to recognize and create entries for each one.

* Student 2 Hebrew Name

Hebrew Name Includes: Hebrew First Name, bat/bar/bnai, Parent 1 Hebrew First Name, Parent 2 Hebrew First Name. If any parent/guardian or grandparent is a Jew by Choice, please list "Avraham Avinu" as father's Hebrew name and "Sarah Emeinu" as mother's Hebrew name. If any parent/guardian or grandparent is not Jewish, leave Hebrew name fields blank.

Student's father is a:*

KohenLeviIsraelN/A*If you are unsure, ask the student's paternal grandfather(if possible). If you have no way to know, select Israel.

* Student 2 Birthdate

Birth Time*

Before SunsetAfter Sunset*This is necessary to calculate both the student's hebrew birth date, as well as the earliest possible date for bar/bat mitzvah.

Gender

MaleFemaleNon Binary

Personal Pronoun(s)

He/HimShe/HerThey/ThemPlease feel free to check multiple pronoun sets if your child uses more than one.

Considering Celebrating in Israel?

YesNo

* Student 2 Grade Level (Fall)

* Jewish School Attending

* We authorize Heilicher/Talmud Torah to communicate with our synagogue regarding our child(ren)

PHOTO UPLOAD

Color Photo of Your Child: Please upload a .JPG image. Must be 2 1/2” x 3 1/2” at a minimum and 300-600 dpi resolution. This photo will be used in the class directory.

* Student 3 Full Name (including middle name)

Student's Phonetic Name(Optional)

(i.e. "Lay-uh" versus "Lee-ah", so we may pronounce names properly)

Student's Preferred Name:

Optional

* Student's Email:

NOTE: We must have different email addresses for each student in order for our B'nai Mitzvah software to recognize and create entries for each one.

* Student 3 Hebrew Name

Student's father is a:*

KohenLeviIsraelN/A*If you are unsure, ask the student's paternal grandfather(if possible). If you have no way to know, select Israel.

* Student 3 Birthdate

Birth Time*

Before SunsetAfter Sunset*This is necessary to calculate both the student's hebrew birth date, as well as the earliest possible date for bar/bat mitzvah.

Gender

MaleFemaleNon Binary

Personal Pronoun(s)

He/HimShe/HerThey/ThemPlease feel free to check multiple pronoun sets if your child uses more than one.

Considering Celebrating in Israel?

YesNo

* Student 3 Grade Level (Fall)

* Jewish School Attending

* We authorize Heilicher/Talmud Torah to communicate with our synagogue regarding our child(ren)

DATE REQUEST

Please provide us with three different preferred B' Mitzvah dates per student below. While we will do our best to accommodate all requests; we cannot guarantee your first or second choice.

You may use a helpful tool at www.hebcal.com to calculate your child(ren)'s Hebrew birthday:
1. Click Date Converter
2. Enter student's English birthdate, and select if they were born before or after sunset
3. Click "Convert to Hebrew"
4. Add 13 years to the Hebrew year given, then click "Convert to Gregorian"
5. The English date given to you is the earliest date your child(ren) may become a B' Mitzvah

* For how many students are you requesting B' Mitzvah dates?

First Student-First Choice of Date

First Student-Second Choice of Date

First Student-Third Choice of Date

Second Student-First Choice of Date

Second Student-Second Choice of Date

Second Student-Third Choice of Date

Third Student-First Choice of Date

Third Student-Second Choice of Date

Third Student-Third Choice of Date

Partnering ("Double" B' Mitzvah)
If you already know that you would like to share your simcha with another child (sibling, friend, etc.), answer "yes" then list the name of the other child.

Would you like to request to share a date with another B' Mitzvah?

Please list the name of the B' Mitzvah you would like to request shared dates.

Beth El embraces the diversity of our community. If any parent/guardian or grandparent is a Jew by Choice, please list "Avraham Avinu" as father's Hebrew name and "Sarah Imeinu" as mother's Hebrew name. If any parent/guardian or grandparent is not Jewish, leave Hebrew name fields blank.

* Parent/Guardian 1 First Name

* Parent/Guardian 1 Last Name

* Relationship to Child(ren)?

* Parent/Guardian 1 Hebrew First Name

* Parent/Guardian 1 Hebrew Mother's Name (if applicable)

* Parent/Guardian 1 Hebrew Father's Name (if applicable)

* Parent/Guardian 1 Cell Phone

* Parent/Guardian 1 Email

NOTE: We must have different email addresses for each parent in order for our B' Mitzvah software to recognize and create entries for each parent.

* Address

* City

* State

* Zip Code

Family Members of Other Faith Backgrounds

Parent/Guardian 1 (yourself)The parents of Parent/Guardian 1Other relatives(please check all that apply)

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Relationship to Child(ren)?

Parent/Guardian 2 Hebrew First Name

Parent/Guardian 2 Hebrew Mother's Name (if applicable)

Parent/Guardian 2 Hebrew Father's Name (if applicable)

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Email

NOTE: We must have different email addresses for each parent in order for our B' Mitzvah software to recognize and create entries for each parent.

Does parent/guardian 2 live at the same address as parent/guardian 1?

Address

City

State

Zip Code

Family Members of Other Faith Backgrounds (please check all that apply):

Parent/Guardian 2 (yourself)The parents of Parent/Guardian 2Other relatives

TUITION

Fiterman B’ Mitzvah Training Program Registration Fee

A $500 Non-Refundable Deposit due upon acceptance of date.

Once you have accepted the proposed B' Mitzvah date, you will be assessed a $500 non-refundable deposit fee to secure your child's date. After submission of the deposit fee, an email will be sent to you to select a monthly or quarterly payment plan, or to pay in full for the program. Tuition will be shared during the Date Acceptance process. Information regarding Financial Aid will also be included at that time.