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, adult-only learning, and mitzvah projects, 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(s) 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 learner(s) 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 Julie Schwarzwald Rabbi Alexander Davis Rabbi Matthew Goldberg

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

YesNo

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

YesNo

* Is your family a member of Beth El Synagogue?

* How many students will you be registering?

* 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.

Hebrew Name

Hebrew Name Includes: Hebrew First Name, bat/bar/bnai, Parent 1 Hebrew First Name, Parent 2 Hebrew First Name. (Example: Ploni ben David v'Malka.) 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/ThemOther

Considering Celebrating in Israel?

YesNo

* Grade Level (Fall 2026)

* Which Jewish school does your child attend?

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

* 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

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/ThemOther

Considering Celebrating in Israel?

YesNo

* Student 2 Grade Level (Fall 2026)

* Jewish School Attending

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

* 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/ThemOther

Considering Celebrating in Israel?

YesNo

* Student 3 Grade Level (Fall 2026)

* Jewish School Attending

* We authorize Smith Academy/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 "Covert 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

Breakdown of Costs for the
Fiterman B’ Mitzvah Training Program

Total Program Fee is $3,850

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

Once you have accepted the proposed B' Mitzvah date, you will be assessed a $500 deposit fee per child to secure each 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. Information regarding Financial Aid will be included in the confirmation email once the Registration Form has been completed.

All fees must be paid in full 60 days prior to your B' Mitzvah date.
Financial aid is available, and an application will be shared with families upon accepting your date and entering the program.

Included in BM Program:
•   Shabbat morning program (TaRBuT)
•   Family Learning Sessions
•   Family Shabbat Dinner: 2 per year
•   Torah/Haftarah individual tutoring
•   Nevi’im (Haftarah class)
•   Beit Midrash (D’var Torah preparation)
•   Weekend-long Shabbaton experience in 5th and 6th grade
•   T3: Tallit, Tefillin, Tefillah
•   Your child(ren)’s Siddur and Tikkun (prayer book and Torah reading book)
•   Tefillin Order
•   MitzvahTools subscription
• Beth El Security Fees

Additional Costs:

Sponsored Kiddush Lunch
The $5,000 base contribution is structured as a tax-deductible charitable donation because it directly supports our congregation's value of bringing our community together for Shabbat. Funding the congregational program with this base contribution advances our synagogue's religious and community-building purposes, and no goods or services are provided to your family in exchange for this contribution. Should families wish to add any menu items (beyond the standard menu) or guests (beyond 50), they will be responsible for the additional cost.

A donation acknowledgment letter for the $5,000 base contribution will be issued separately for your tax records. Any additional enhancement costs represent goods and services provided directly to your family and are not tax-deductible. Please consult your tax advisor regarding the deductibility of charitable contributions.