Bas Mitzvah Booking and Deposit Form "*" indicates required fields Student Name* First Last Grade*Parent Name* Parent Cell Number*Parent Email* Date of Bas Mitzvah Event MM slash DD slash YYYY Start Time of Bas Mitzvah* Hours : Minutes AM PM AM/PM End Time of Bas Mitzvah* Hours : Minutes AM PM AM/PM Food Provided By:*Entertainment By:*(ex: Dancing, Motivator, Project, Chessed)If applicable, what is your Bas Mitzvah theme?Do you have any questions?agreement I am aware that a diagram of how I would like the room to be set up for the event will be sent to [email protected] 10 days prior to the event. The diagram should include the following: – Table Locations -Table sizes (8ft\6ft) – Which tables need chairsagreement I am aware that I need to invite all my daughter’s classmates and can choose to invite the other parallel classes. Agreements* I am aware of and will adhere to the school dresscode Agreements* I am aware that fathers, grandfathers and brothers may attend but will leave during dancing. Deposit Fee Price: Total Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name
