Simcha

PLAN YOUR BAR MITZVAH
AT BRS WEST!

* Indicates required field

Your Name *

First

Last

Email *

Name Of Bar Mitzvah Boy *

First

Last

Bar Mitzvah Boy Date of Birth *

What is the anticipated date of the Bar Mitzvah? *

What Parsha, and how much is he planning on Leining? *

Name of Bar Mitzvah Teacher *

Anything else we should know? *

PLEASE NOTE: Completing this form does not guarantee reservation for your Bar Mitzvah weekend. We will contact you in the event of any conflicts.

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