B'nei Mitzvah Information

Submission form for The Park Bulletin and the Cleveland Jewish News.
Items marked with an asterisk (*) are not printed in The Bulletin.

* Name as you wish it to be printed:

* School / Religious School:

Religious School

* Hobbies/interests/activities:

Mitzvah Project, if any:

City of Residence*

* Parent(s') names:

Sibling(s') names:

* Grandparent(s') names (may include cities if different)*:

Please indicate if they are married by placing a comma after each couples names.

Grandparent(s') names (of blessed memory)

E-mail

Enter your name and e-mail address for your confirmation

First Name

Last Name

Account

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

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