YOUNG ISRAEL OF SCARSDALE
1313 WEAVER STREET
SCARSDALE, NEW YORK
(914) 636-8686

Please print this form and mail directly to the Synagogue office; Attention - Marcia Lustig.

We want to reserve ________DAY, the ____________________, _____ for our

Son/daughter _____________________________________, s Bar Mitzvah/Bat Mitzvah, to be held at the Young Israel of Scarsdale at AM ( ), PM ( ).

We understand that this reservation will be confirmed upon full payment of all dues, and arrears, and the approval of the Treasurer, Rabbi, and Catering Committee Chairperson.

We understand that the fee for the Bar/Bat Mitzvah class is $300 and is separate and apart from our membership fee.

We also acknowledge that if we plan to use a catering establishment for refreshments, said caterer must be on the Y.I.S. approved list of caterers.  Said caterer must also furnish proof of compensation insurance as well as a New York State Certificate of Health to Y.I.S. before being admitted upon the premises.

Please contact Co-President for schedule of fees, and availability of facilities.

No one other than an approved caterer may bring food into the building to be used on this occasion, but our Sisterhood may be asked to provide a kiddush at their standard rates.  Obtain Kashrut Guideline in office.

We are planning to use Y.I.S. facilities for:  Luncheon ( ), Dinner ( ), Kiddush ( ), and plan to use the ___________________________ Caterers and/or Sisterhood ( ).

Name:  ___________________________________________________________

Address:__________________________________________________________

Telephone:_________________________________________________________

Signature:__________________________________________________________

Rabbinic Approval: _____________________________ Date:________________

Treasurer's Approval: ___________________________ Date: ________________

Co-President: __________________________________ Date: ________________

Please obtain a contract for rental of Synagogue facilities.

BAR/BAT MITZVAH REGISTRATION

YOUNG ISRAEL OF SCARSDALE
1313 WEAVER STREET
SCARSDALE, NEW YORK
(914) 636-8686

Please print this form and mail directly to the Synagogue office; Attention - Marcia Lustig.

Child's Name (English) ____________________________________________________

(Hebrew) _______________________________________________________________ 

Parent's Name: ___________________________________________________________

Address: ________________________________________________________________

City: ___________________________________________________________________ 

Date and Time of Birth: ____________________________________________________ 

Hebrew Birth Date: _______________________________________________________ 

Projected Bar/Bat Mitzvah Day: _____________________________________________ 

Portion: _________________________________________________________________ 

Special Request: __________________________________________________________ 

Student's Educational Background: ___________________________________________

Secular School: __________________________________________________________ 

Hebrew School: __________________________________________________________

Awards: ________________________________________________________________ 

Hobbies: ________________________________________________________________