Request a Conversion Immersion

Please note: conversion immersions can only be scheduled by clergy or their assistants. If you are in need of connection to clergy please reach out to us at info@mayyimhayyim.org.

Please fill out the form below to request an appointment at Mayyim Hayyim. If you are requesting an appointment for more than one person, please select "Add another response" at the bottom of the form.
Contact Information of Clergy & Scheduler












Contact Information of Person Immersing







(If you are filling this out for a child, please enter a parent/guardian's phone number)

(If you are filling this out for a child, please enter a parent/guardian's email)





Immersion Information
Please request your appointment at least three (3) business days in advance. Although not always possible, we will do our best to accommodate other requests.

When submitting a request, you can expect:
  • Your increased flexibility within the posted hours and requesting appointments farther in advance will yield a higher likelihood of confirming your appointment.
  • An email from our staff to either confirm your requested time or suggest alternative options.


Conversion/affirmation appointments are scheduled for 90 minutes to include a Beit Din unless otherwise arranged. After a Beit Din, your candidate will receive a short tour of the mikveh. Our hours of operation are:
  • Monday - Thursday: 10:00am - Sunset
  • Friday: 10:00am - 4:00pm
  • Sunday: 10:00am - 4:00pm
When would you like to schedule the conversion? Please share three dates/times in order of preference:

Format: 8/1/2022 1:00pm; please exclude any extra spaces or characters

Format: 8/1/2022 2:00pm; please exclude any extra spaces or characters

Format: 8/2/2022 11:00am; please exclude any extra spaces or characters

A Mayyim Hayyim volunteer Mikveh Guide will be present to support you and your candidate throughout the conversion experience and to serve as a witness for the immersion. Please share your candidate’s preference for the gender of their Mikveh Guide.


Contact Information