Baby Naming / Brit Milah Ceremony Request

Submission of this form begins the request process. All ceremonies are scheduled in accordance with Congregation Emanu-El's Lifecycle Policy and clergy availability.

Parent/Guardian 1 Information

Salutation

First Name

Last Name

Hebrew Name

Primary Email

Primary Cell Phone

Work Phone

Home Phone

Address

City

State

Postal Code

Is there a Parent/Guardian 2?

Parent/Guardian 2 Information

Salutation

First Name

Last Name

Hebrew Name

Primary Email

Primary Cell Phone

Work Phone

Home Phone

Does Parent/Guardian 2 live in the same household?

Address

City

State

Postal Code

If there are other legal guardians, please list their names here

Child Information

(Repeat this section for each child included in the ceremony)

Child's First Name

Child's Middle Name

Child's Last Name

Child's Hebrew Name (if known)

Date of Birth

Time of Birth

*please indicate AM or PM

Gender

Membership Status

Are you members of Congregation Emanu-El?

YesNo

If you have a relation to a member, please list their name here

Ceremony Location

Requested Ceremony Location

Clergy Preference

Do you have a clergy preference?

Yes	No preference

Clergy assignments are subject to availability and congregation policy

Requested Rabbi

Preferred Ceremony Date

Date of Child's Ceremony

Policy-aligned Guidance

Members:
Members may request dates and locations consistent with Congregation Emanu-El's Lifecycle Policy and clergy availability.

Non-Members:
Baby Naming ceremonies for non-member families take place during the Friday evening 6:00 pm Shabbat service at Congregation Emanu-El.
Brit Milah ceremonies for non-member families are coordinated in consultation with clergy.

Would you like to be connected with a small group of parents whose babies are around the same age? We'll only share your contact information with other families who opt in.

Yes, I'd love to join a WhatsApp groupYes, email is better for meNot at this time

Additional Notes (Optional)

Account ID

Primary Contact 1 ID

Secondary Contact ID

User ID