Bat Mitzvah Club Registration Form 2025/2026

Parent Information

Mothers Name:*

First Name Last Name

Mother's Hebrew Name:* If you are unsure, write NA

Mother`s Cell:*

Area Code Phone Number

Mother`s Email:*

Address:*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Is Mother Jewish?*

Jewish by BirthConvertedNot Jewish

Is Maternal Grandmother Jewish?*

Jewish by BirthConvertedNot Jewish

Father`s name:*

First Name Last Name

Father's Hebrew Name:* If you are unsure, write NA

Father`s Cell:*

Area Code Phone Number

Father`s Email:*

Address (if different):

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Bat Mitzvah Girl`s Full Name:*

First Name Last Name

Bat Mitzvah Girl`s Hebrew Name:*

Birth Date:*

Month Day Year

Time (Approx):*

Hour Minutes

Phone Number:

Area Code Phone Number

School:

Any infomation that you would like to add about your daughter

Contact 1:* *Other than parents*

First Name Last Name

Phone Number:*

Area Code Phone Number

Relationship?*

Contact 2:* *Other than parents*

First Name Last Name

Phone Number:*

Area Code Phone Number

Relationship?*

Physician Name:*

Phone Number:*

Area Code Phone Number

Address:

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Does your child have any allergies?*

YesNo

If yes, please specify

Does your child carry an Epi-Pen?

YesNo

Any medical info BMC leader should know about? *

YesNo

If yes, please specify

2025/2026 Bat Mitzvah Club Tuition:
$100.00 - Registration Fee ( Non Refundable)
$2000.00 - Tuition
$1700.00 - Chabad annual Members Discount

*Tuition includes 5 year end ceremony tickets*

Members, please check the payment option of your choice: The office Admin will set up payment plans for your convenience.

1 payment of $17002 payments of $8503 Payments of $566.604 Payments of $425

Non-Members, please check the payment option of your choice: The office Admin will set up payment plans for your convenience.

1 Payment of $20002 Payments of $10003 Paments of $666.604 Payments of $500

$100 Registration Fee*

Please charge the $100 non refundable registration fee

Payment*

⚠ You have not yet connected a credit card processor.

Credit Card Paypal Zelle: [email protected] / Venmo: @Chabadatmonterra.com

Postal / Zip Code

Country

Bat Mitzvah Club Tuition & Refund Policy

We appreciate your interest in Bat Mitzvah Club! Please review our tuition and refund policy carefully:

Admissions & Enrollment:

Tuition is Non-Refundable: Once registration is submitted and processed, tuition payments are non-refundable.

Enrollment Requirements: To officially enroll your child and permit them to attend classes, we require a signed registration form, accompanied by either full tuition payment or a completed and approved payment plan. Please note that registration is only considered complete once your payment plan is approved and all applicable registration fees have been received.

Membership Discount Policy: The discounted tuition rate is a benefit reserved exclusively for paid annual members of Chabad at Monterra or Chabad At Monterra.

Families who are not current, paid annual members of one of these Chabad centers will automatically be charged the full, non-discounted tuition price upon registration.

If you become a qualifying paid annual member of Chabad at Monterra or Chabad At Monterra after initial registration, please contact the Bat Mitzvah Club office. We will gladly adjust your tuition to reflect the membership discount at that time.

Refund Policy:

Bat Mitzvah Club does not issue refunds or credits for any days missed from class. This includes absences due to student illness, school holidays, or family vacations.

Miscellaneous Policies
Photo Release - I grant permission for my child to be photographed while participating in Bat Mitzvah Club activities. I understand these photographs may be used for marketing and promotional purposes related to Chabad activities.

Liability and Indemnification I understand that I am responsible for all liability and costs resulting from any damage to property or personal injury caused by my child(ren). I agree to fully indemnify and hold harmless Chabad Lubavitch of Southwest Broward, Inc., Bat Mitzvah Club, and its associates, teachers, and agents from any such claims or costs.

Participation in Trips - I authorize my child(ren) to participate in trips conducted by Bat Mitzvah Club.

Parent/Guardian Agreement I certify that I am the parent or legal guardian of the child(ren) listed in this registration. I confirm that I have read and understand the full agreement as published online at Jewishmonterra.com, agree to pay the full amount due, and accept all policies set forth by Bat Mitzvah Club.

Signature*

I agree to all the fees and policies provided in this BMC registration form.I agree that all fees/payments are non refundable at the time of payment.

I would like to receive news and updates from Chabad at Monterra by email. I understand that information I provide to Chabad at Monterra will be used according to its Privacy Policy and I can unsubscribe at any time.

Bat Mitzvah Club Registration Form 2025/2026

Bat Mitzvah Club Registration Form

Bat Mitzvah Girl Information

Emergency Contact and Medical Information

Payment Options

Policy Agreement

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