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Registration Form BMC

Registration Form BMC

BMC-Logo-200.jpg Chabad V.s.L. - Bois Franc
Bat Mitzvah Club 
2500 des Nations, #200, V.s.L., QC H4R 3J9
Phone: 514.747.1199
Email:
bmc@chabadvsl.com

Childs Last Name: First Name:
Home Address: Postal:
Tel: Fax:
Child's Email:
Child's Date of Birth: Hebrew Birthday:
School presently attending:
School(s) attended in the past:
MOTHER: First Name: Last Name: 
Hebrew Name: Work Number:
Cell: Email:
FATHER: First Name: Last Name:
Hebrew Name: Work Number:
Cell: Email:
Emergency Contact Name: Tel:
Medicare #: Exp:

Please list any allergies or health concerns:

Please list any conversions or adoptions in the family:

My hobbies, talents and interests:
Cost:  

$125.00 for 2011-12

$150.00 for 2012-13 

 
Billing Information:  
Cash Cheque Pay Pal (Click here to pay) Visa Master Card
Name on Card:
Card Number: Expiry:
 

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Updates
Hebrew school - jewish enrichment for kids!
Sunday mornings, 10:00am-12:30pm. Join the fun! And Black belt at Aleph Champ! Sign up here.
Mini Chefs - Roll up your sleeves and get busy!
Come experience the joy of Kosher cooking! 8 select Wednesday afternoons, 5:30-7pm supper included. Read more here.
Upcoming events
Oct. 24, 2017
9:30am Ladies Torah & Tea with Leah @ our home
Oct. 24, 2017
Please send a text confirming your attendance: 514 -962 -8485

SVP repondez “oui” “non” ou “peut etre” en textant le: 514 962 8485
Oct. 29, 2017
Over breakfast. The quick track of this week's parsha and its eternal lessons.
Oct. 29, 2017
In depth study class