B'nai Mitzvah Information Form
Please complete as much information as possible at least two weeks prior to your ceremony. Thank you and mazel tov - we are so proud of you!
Family Information
Student Name
*
Student Date of Birth
*
Student Hebrew Name
Immediate Family Member First & Last Names (parents & siblings)
*
Will Your child be submitting the Mitzvah Checklist before the ceremony date?
*
Please select all that apply.
Yes
No
Let's Talk About This
When will your child be leading the kiddush wine blessing at a Tamid Friday Shabbat Gathering?
*
Please select all that apply.
Month of Ceremony
Month Before Ceremony
Month After Ceremony
Will Not Be Leading Kiddush at Tamid Friday Shabbat Gathering
Ceremony Participation
Aliyah #1 Blessing on Torah Reading (up to 6 people)
Aliyah #2 Blessing on Torah Reading (up to 6 people)
Aliyah #3 Blessing on Torah Reading (assigned to b'mitzvah student)
Which parent(s) will speak during the ceremony to your child?
If other Tamid students are attending, what are their names?
Optional Honors we are interested in having family members participate in:
Please select all that apply.
Kiddush blessing for wine
Challah Blessing for bread
Sibling prayer
Please let us know which family members you would like honor/say the above blessings:
If there are any other people to honor, please share their names in this space and speak to Rabbi Darren during the ceremony rehearsal to confirm.
Event Location & Ceremony Details
Event location name and cross streets
*
Event Location Address
*
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DC
DE
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GA
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IA
ID
IL
IN
KS
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LA
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MD
ME
MH
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NB
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How many guests do you intend to have at the ceremony:
*
What time do you wish the ceremony to begin? (Note: it is customary for guests to be invited to arrive 15-30 minutes before the start of the ceremony).
*
Can your venue provide the following:
*
Please select all that apply.
Rectangle Table (approximately 30x60 inches
At least one microphone
Rabbi Darren and Chesney like to arrive at least 30 minutes before the ceremony to set up the Torah and prayer books. Is this possible?
*
Please select one option.
Yes
No
Let us check on that
Select Option
Yes
No
Let us check on that
Are there any special notes you would like to share about the venue?
*
Additional Information
Please share anything you would like to discuss in particular with the rabbi at your family rehearsal during the week of your ceremony
If you have any specific questions, please feel free to ask them here or in real time with Rabbi Darren or Chesney. You can also email Rabbi Darren or Chesney at any time with your questions.
Submit
Description
Please complete as much information as possible at least two weeks prior to your ceremony. Thank you and mazel tov - we are so proud of you!
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