Printed fromJewishOlney.com
ב"ה

Registration

  • BMC CLUB REGISTRATION

  • Please fill out this form as an initial registration for Bat Mitzvah Club.
    Confirmation of acceptance will be acknowledged only after this registration form is reviewed and an acceptance letter is received.
  • Parents Information

  • As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all activities, join in club trips on and beyond Chabad properties and allow my child to be photographed while participating in Chabad activities.

  • Payment

  • $0.00
  •   
    Credit Card
    Chabad of Olney
    17320 Georgia Avenue
    Olney, MD 20832-2432
    Billing Address
  • Should be Empty:
Secure This page uses TLS encryption to keep your data secure.