Bar and Bat Mitzvah Form Child's Info Child's Name Child's Hebrew Name Child's Birth-date Time of Birth (please add AM or PM) Parents' Info Mother's Name Mother's Email Father's Name Father's Email Phone Number Address Is the child's mother Jewish? Is the maternal grandmother Jewish? Are there any adoptions or conversions in the family? If yes, please explain. Event Info Date of Bar Mitzvah Venue Caterer Questions or Comments This page uses 128 bit SSL encryption to keep your data secure.