Bar Mitzvah Club BAM Tribe Registration Form

We are excited to start Bar Mitzvah Club BAM Tribe on Oct. 30th 7:15-8:30pm and we will meet at that time twice a Month on Mondays (see calendar link below).
Most meetings will happen at Chabad Pittsford but there will be some weeks we will meet at different boys houses. Default location is Chabad Pittsford, and parents will be notified whenever it's at someone's house.
Any questions please, please feel free to contact Bar Mitzvah Club leader Rabbi Yitzi Hein at [email protected] or call/ text 585-286-6147
Click Here for Bar Mitzvah Club BAM Calendar for the Bar Mitzvah Club BAM Tribe
Click Here for the Bar Mitzvah Club BAM Tribe FAQs
General Information
Child's Name
First Name Last Name
Child's Hebrew Name Optional
First Name Last Name
Birth Date

Month Day Year
Grade

6th7th
Allergies food etc.
Parents Information
Mom's Name
First Name Last Name
Mom's Phone Number
Mom's E-mail
Dad's Name
First Name Last Name
Dad's Phone Number
Dad's E-mail
Emergency Contact
Emergency Contact Name
First Name Last Name
Emergency Contact Number
Anything else you would like us to know?
Terms of Enrollment:

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad BMC to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, the Chabad BMC personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all club activities and allow my child to be photographed while participating in the BMC activities and these pictures may be used for marketing purposes.
Terms of Enrollment*

I Accept
The cost for Bar Mitzvah Club Bam Tribe is $399 for the full year, and you can choose your payment plan below. (There are also need-based scholarships so every boy can join - email [email protected] to make arrangements and choose check option below).
Payment Information
Program Prices

Full Bi-Weekly Program ($399)Monthly Attendance Option ($225)
Total

$0.00
Payment options:

Pay in full nowPay in 2 installments over the next 2 monthsPay in 4 installments over the next 4 months
Scholarship Request: There are needs-based scholarship available for any Jewish child who needs it. Check this box if you want to apply for one and someone will reach out.
There are also need-based scholarships so every Jewish boy can join - we feel money should not be a reason to hold back from this experience! Just email [email protected] to make arrangements and choose scholarship option below
There are also need-based scholarships so every boy can join - email [email protected] to make arrangements and choose check for payment option below (so we don't charge your card now) and we can adjust price with the scholarship amount

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