Bar/Bat Mitzvah Child's name: (required):
 

Father's name:
 

Mother's name:
 

E-mail: (required)
 

Phone:
 (daytime)   (evening)

Date:
 

Time:
     AM     PM

Reception location:
 

Planned number of guests:
total       children

INTRODUCTIONS

Members of immediate family: (include relationship):
1.    relation
2.    relation
3.    relation
4.    relation
5.    relation

Honored guests to announce:
Bread      who    time
Wine       who    time
Cake       who    time
Toast      who    time
 

Candle Lighting Ceremony announced by:
 

Name: Relationship to child:

After Candles are Blown out, everyone to sing:
 
 Happy Bar/Bat Mitzvah     Happy Birthday

At this point, Bar/Bat Mitzvah child says a few words?  yes    no

Will the centerpieces be given away?  yes    no

Will the band be provided with food?  yes    no

Selected Activities:

Limbo  Huggy Bear  Freeze Dance  Coke/Pepsi   Mummy Wrap   Chicken Dance   Basketball Free Throw   Lip Sync Contest   Club Med Song   Hula Hoops   Hokey Pokey   Macarena Other selections:

Special announcements or comments:
(birthdays, anniversary, engagements etc.)
 

Thank you.
We look forward to helping you with your entertainment needs.