Register for Ben & Bernice Fiterman B'nai Mitzvah Program

Welcome to the Ben & Bernice Fiterman B'nai Mitzvah Program.

This registration form must be completed prior to your intake meeting, in order to enroll your child(ren) in our program for Fall 2016.  There is a $250.00 registration fee per child due upon registration. Total costs and payment information are at the end of this form.

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

Parent or Guardian 1

(e.g. Shmuel ben Shlomo v'Sarah)

Student 1

(e.g. Sarah bat Avraham v'Devorah)
Jewish School Attending
We authorize the Heilicher Mpls. Jewish Day School/Talmud Torah to communicate with our synagogue regarding our child

Parent or Guardian 2

(e.g. Shmuel ben Shlomo v'Sarah)
Leave blank if same as above.

Other Information

I acknowledge the program costs and billing arrangements and that all fees will be paid in full by the end of my child's 6th grade year.