Bas Mitzvah Entertainment and Refreshments Form

Entertainment and Refreshments Form

"*" indicates required fields

Student Name*

First Last

Grade*

Parent Name*

Parent Cell Number*

Parent Email*

Start Time of Bas Mitzvah*

End Time of Bas Mitzvah*

If applicable, what is your Bas Mitzvah theme?

Food Provided By:*

Entertainment By:*

(Dancing, Project, Motivator, Chessed)

Do you have any questions?