L'ÉCOLE BENLOLO BAR/BAT MITZVAH SCHOOL

Dear Parent,

Please print out and have a clergy of your synagogue complete this form and deliver it to:

L'ecole Benlolo Bar/Bat Mitzvah School

 

Student Name : _____________________________________________

Affiliated Synagogue : _________________________________________

Bar Mitzvah Date : ___________________________________________

Bar Mitzvah Date : ___________________________________________

Parent signature: _______________ _____________________________

 

Parsha (Torah portion): ________________________________________

Maftir: ____________________________________________________

Haftorah: __________________________________________________