Thank you for your interest in the JFR’s Bar/Bat Mitzvah Twinning program. Please complete the information. You will be able to make your donation immediately on the following page or you can mail a check at a later date.
Full name of the Bar/Bat Mitzvah *
Date of Bar/Bat Mitzvah *
Parent or Guardian *
Address Line 1
Address Line 2
State <Select>AAAEAlabamaAlaskaAlbertaAmerican SamoaAPArizonaArkansasBritish ColumbiaCaliforniaCanal ZoneColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew South WalesNew YorkNewfoundland and LabradorNorth CarolinaNorth DakotaNorthern Mariana IslandsNorthwest TerritoriesNova ScotiaNanavutOhioOklahomaOntarioOregonPalauPennsylvaniaPrince Edward IslandPuerto RicoQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWSWyomingYukonDZCQueenslandAdBSAKLPTYSPOther
Home Phone *
Name of Rescuer you would like to be twinned with: *
To select a rescuer please view our list of rescuers.
Please indicate the name and title of one person from your congregation who you would like to appear on the certificate (i.e., rabbi, cantor, or president):
Full Name *
Name of Congregation *