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INSPIRATION
WHAT’S ON
FLOW
COMMUNITY
SHUL
WEDDINGS
BAR/BAT MITZVAH
ABOUT
OUR STORY
OUR VISION
OUR MISSION
OUR CORE VALUES
CONTACT
MEMBERSHIP
DONATE
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RoP Enquiry
RoP Application Form
Thank you for applying for our Rite of Passage experience and for taking the time to complete the following information. If any questions are not applicable to your family's circumstances, please answer N/A for that particular question. As you complete this form, please feel free to contact us on 9509 7211 with any questions.
Your name
*
Phone
*
Email
*
Student information
Child's name
*
Hebrew name
Gender
*
Male
Femail
Birth Date
*
Time of birth
*
Morning
Afternoon/before midnight
Hebrew birthday in Bar/Bat Mitzvah year
*
Expected date of bar/bat mtzvah
*
Country & city of birth
*
Child lives with
*
Both parents
Mother
Father
Other
Other
Current school
*
Current year level
*
Intended high school
*
Details of any previous Hebrew education
*
What level of Hebrew reading does your child have?
*
None
Basic
Fluent
If your child has any learning difficulties or unique learning styles it would help if you could provide some key details.
What are your child's skills, talents, interests or hobbies? (can select multiple)
*
Sport (please specify)
Sport (please specify)
Musical instrument (please specify)
Musical instrument (please specify)
Dance
Cooking
Singing
Reading
gaming
Other
Other
How would you describe your child's personality (check all relevant boxes)
*
Introver
Extrovert
Group Leader
Group Participant
Loves Performing
Doesn't like presenting in front of crowds
Family's Approach to Tradition
Please share with us the Jewish values and traditions that are important to your family, and whether you identify with any particular religious affiliation.
How traditional is your home Jewish life? (select any relevant boxes)
*
Regular Shul goers
3 times a year Shul goers
Celebrate festivals
Regular Family Friday Nighters
Full Shabbat Observant
Yom Kippur Fasters
Other
Other
What do you hope your child learns about or focusses on in the lead up to Bar/Bat Mitzvah? (topics or languages or skills etc.)
As parents, what fears or concerns do you have about the future world that your child will grow up in?
Adoptions
It is important that we have an understanding of family lineage so that we do not inadvertently offend
Are there any adoptions in the family?
*
Yes
No
Please give details of which family member/s this applies to and which country and city the adoption took place.
Conversions
It is important that we have an understanding of family heritage so that we do not inadvertently offend
Are there any conversions in the family?
*
Yes
No
Please give details of which family member/s this applies to. Please also give details as to which Beth Din, country and city the conversion took place. Please also provide us with a copy of the conversion certificate.
Father's details
Full name
*
Hebrew name
Mobile
*
Email
*
Occupation
Country & City of birth
Family heritage
*
Mother Jewish
Father Jewish
Marital status
Married
Separated
Divorced
Remarried
Jewish Tribal affiliation
Cohen
Levite
Israelite
Not sure
Mother's details
Full name
*
Maiden name
*
Hebrew name
Mobile phone
*
Email
*
Occupation
City & country of birth
*
Mothers Family heritage
*
Mother Jewish
Father Jewish
Marital status
Married
Separated
Divorced
Remarried
The Ceremony
What attracted you to our RoP program and a Bar/Bat Mitzvah at Spiritgrow?
*
Have you attended a Bar/Bat Mitzvah at Spiritgrow?
Yes
No
Are any of these important to you:
Reading the Torah
Reading something in Hebrew (not necessarily from the Torah)
Other (Please specify)
Other (Please specify)
Ideally, approximately how many guests would you like to have in attendance?
Is it your intentions to have a kiddush at Spiritgrow after the ceremony?
Yes
no
Unsure
Will there be a party outside of the ceremony?
Yes
No
Unsure
Wil there be
Grand/Great grandparents attending
Family members flying in
Medical information (confidential) and emergency contact details
Is your child up to date with vaccinations?
*
Yes
No
Is there any special medical information, such as allergies, that we should be aware of?
Family doctor
*
Family doctor phone
*
Child's Medicare number
*
Child's Ambulance membership number (if applicable)
Emergency contact name
*
Mobile
*
Relationship to child
*
Medical release: By selecting "Yes" I hereby authorize Spiritgrow staff to obtain any medical care necessary for my child. I understand that in the case of an emergency or any significant illness or injury, attempt will be made to contact myself when practical. I agree to pay for any cost that may occur as a result of the injury/illness.
*
Yes
No
Permissions - Activities and Media
By selecting "Yes" I hereby permit my child to participate in all Rite of Passage activities and excursions.
Yes
No
I agree to be a part of a Spiritgrow RoP Updates WhatsApp group
Yes
No
By selecting "Yes" I hereby grant permission to use photos or videos of your child at Spiritgrow’s discretion and give full permission to Spiritgrow to use photographs and videos of your child for PR purposes.
Yes
No
Waiver of Liability
By selecting "Yes", I hereby unconditionally release Spiritgrow Centre and Library Assoc. Inc., and any of their officers, directors, executives, employees, agents, volunteers and anyone working under, through or in connection with any of them with respect to any incident, claim, occurrence, loss, injury, or damage whether known or unknown, present or future, foreseeable or not, that could or may arise out of such participation in any and all programs and activities, including provided travel to and from, in which I participate at the Spiritgrow Centre and Library. I, the undersigned, have read and understand the above statements and I agree to abide by all the rules and guidelines of Spiritgrow.
*
Yes
No
Delicate Cases
Adoption and surrogacy are important factors in determining Jewish status. Your child's bar or bat mitzvah is a religious milestone and we can only perform this tradition with those who are halachically Jewish. The onus is on the applicants to disclose to Spiritgrow any circumstances that may affect the Bar/Bat Mitzvah. Where the applicants have failed to disclose such information, Spiritgrow has the right, at any time, to cancel the application. Matters of a delicate nature may be discussed in confidence with the Rabbi. The applicants agree to abide by Spiritgrow's code of conduct and if relevant, rulings on matters of religion as it relates to your families involvement. In cases of divorce, separation or variations in custody etc, both parents and (where applicable) guardians or other relevant persons must sign and are bound by the terms of the application.
Signed - Full name
*
For our documentation, please provide us with the following information (you can scan or take a picture of these and email them to us at
[email protected]
or bring in a hard copy to our office).
A family photo (immediate family only)
Yours or your parents ketubah (religious marriage certificate)
Gett (religious divorce document) - if applicable.
Conversion certificate - if applicable.
If you are human, leave this field blank.
Submit
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