Bar Mitzvah Form

MAZAL TOV!

Bar Mitzvah is Hebrew for "son of commandment." When a Jewish boy turns 13, he has all the rights and obligations of a Jewish adult, including the commandments of the Torah. From that date, he will wear Tefillin on a daily basis, participate in synagogue services and take his place in the Jewish community. This milestone is often celebrated with a ceremony in synagogue, Tefillin wearing, and parties. The celebrant may be called to the Torah, give a speech or otherwise demonstrate his newfound status.

Bar Mitzvah Boy's Name

First Name Last Name

Hebrew Name

Birth date

Month Day Year

Hour Minutes

Address

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

Are you the

Biological parents of the Bar Mitzvah BoyAdopted parents of the Bar Mitzvah boy

Father's Full Name

First Name Last Name

Father's Hebrew Name

Father's Jewishness*

From Birth (My biological mother was born Jewish)ConvertedNot Jewish

Mother's Full Name

First Name Last Name

Mother's Hebrew Name

Mother's Jewishness*

From Birth (My biological mother was born Jewish)ConvertedNot Jewish

Maternal Grandmother's Full Name

First Name Last Name

Maternal Grandmother's Hebrew Name

First Name Last Name

Maternal Grandmother's Jewishness*

From Birth (Biological mother was born Jewish)ConvertedNot Jewish

Maternal Great - Grandmother's Full Name

First Name Last Name

Maternal Great - Grandmother's Hebrew Name

First Name Last Name

Maternal Great - Grandmother's Jewishness*

From Birth (Biological mother was born Jewish)ConvertedNot Jewish

Notes and Comments

Bar Mitzvah Boy's Information

Parents' Information

Community Services

Hebrew School

The Synagogue

Friday Night Dinner

Adult Education

Membership / Partnership