MAKING YOUR BAT MITZVAH LAST FOREVER

Cteen Miami Beach’s innovative Bat Mitzvah Academy is a spectacular 8 month program for 11 and 12 year old girls to prepare them for their Bat Mitzvah. Eye-opening topics are explored and discussed through drama, arts, and innovative technology in a warm, social, Jewish environment. The Village's Bat Mitzvah Academy aims to empower our girls as proud Jewish women in the 21st century.

Our course is hip, authentic and a most meaningful Bat Mitzvah experience. The Village’s Bat Mitzvah Academy is a gift for a lifetime.

  
    

Girl's information
First name *
Last name *
Birth month *
Day *
Year *
Girl's phone
Girl's email *
School *
Grade *
Parent information
Parent first name
Parent last name
Parent phone
Parent email
Is mother Jewish? *
Is maternal grandmother Jewish? *
If converted, Rabbinic authorization
Emergency contact
Primary contact name *
Phone *
Relationship *
Secondary contact name
Secondary phone
Secondary relationship
Medical information
Hospital preference *
Physician's name *
Physician's phone *
Insurance company
Allergies / special health considerations
Authorization
I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child, and waive my right to informed consent, only in the event that neither parent/guardian can be reached in an emergency. I give permission for my child to go on field trips and release CTeen Miami Beach from liability in case of accident during activities, as long as normal safety procedures have been taken.
I have read and agree to the authorization above. *
Signature — first name *
Signature — last name *
Date *
Terms of agreement
1. Payment in full is due with application.
2. Payment is non-refundable for any reason, even if your child does not attend the program.
3. Withdrawal does not relieve financial obligations for the program.
4. By signing below you agree to all terms herein.
I have read and agree to all terms above. *
Signature — first name *
Signature — last name *
Date *
Additional notes

  
  

MAKING YOUR BAT MITZVAH LAST FOREVER

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