Please fill out this form completely and return it to the Temple office, in the enclosed envelope, as soon as possible.
1. Full name of Bar/Bat Mitzvah as you wish it to appear in the Chai Notes, other announcements and certificates:
___________________________________________
son/daughter of ____________________________________________________
2. Date and time of Bar/Bat Mitzvah:___________________________________
3. _____ Yes, we shall arrange to have flowers on the pulpit during the Sabbath (beginning Friday evening) of our child´sBar/Bat Mitzvah.
_____ No, we do not wish to have flowers on the pulpit.
4. _____ Yes, we shall arrange to have food baskets on the pulpit during the
Sabbath (beginning Friday evening) of our child´s Bar/Bat Mitzvah.
5. The Service Leaflet should read:
"The flowers/food baskets are the gift of":
______________________________________________________________
In honor of the Bar/Bat Mitzvah of _______________________________
6. _____ Yes, we intend to use the Temple Social Hall.
(Contact the Temple Administrator at 633-8877 to make arrangements.)
_____ No, we do not intend to use the Temple Social Hall.
________________________________
Parent Signature
