Hebrew Naming Ceremony

For Women & Girls

DO YOU HAVE A JEWISH NAME?!
Hebrew Naming Ceremony for Women and Girls
Have you always wanted to have a special Jewish name, but weren't given one at birth?
No need to wait any longer!
During the Torah Reading on Shvu'os, you'll have the chance to receive your Jewish name !
How?!

First, complete the form below, then contact Rochy ( [email protected] ) or the Rabbi ( [email protected] ) and they will help you choose a Jewish name that "fits" YOU!
The Naming Ceremony will take place on May 17 at 6pm. It's free of charge, but you must complete this form to reserve your spot, by May 10.

Then invite your family and friends to take part in your Simcha ! You will also receive a beautiful certificate with your new Jewish name!!
REGISTRATION FORM
Note that once you complete this form, please contact the office to make sure we received it.
Call (508) 473-1299 or email [email protected] .
Your (English) Name*
First NameLast Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Birth Date*
MonthDayYear
Phone Number*
Whenever possible, please use a cell number.
E-mail*
School/Occupation*
where do you go to school or work?
Were you ever given a Jewish Name?*
No, not yet.Yes, but I forgot it.Well, I've been called a Jewish name, but it was never formally given to me.
If you answered "yes" or "well..." above, please give more info.
Whatever info you have re your Hebrew name will be helpful
If you chose a Hebrew name for yourself, please fill it in below. If you need help choosing a Hebrew name that "is you", please call Rochy or the Rabbi at (508) 473-1299.
Name Choice
Additional notable Information
Parents Information
Father's Name*
First NameLast Name
Father's Hebrew Name
If unknown or doesn't have one, please let us know.
Mother's Name*
First NameLast Name
Mother's Hebrew Name*
If unknown or doesn't have one, please let us know.
Parents are:*
MarriedDivorcedSeperatedOne, or both are DeceasedIt's complicated.
Were both your parents born to Jewish parents?*
YesNo
If not, please explain:
Were there any adoptions in the family?*Parents, siblings, aunts, uncles, etc.
YesNo
If someone was adopted, please explain.
Supply as much info as you have/know.
Were there any conversions in the family?*Parents, Grandparents, Siblings, Aunts, Uncles, Children etc.
YesNo
If someone converted, please explain.
Supply as much info as you have/know.
How many people will you be inviting to the ceremony?
We only need an approximate number.
There's no charge to take part, and receive a Jewish/Hebrew name!
However, if you feel inspired to make an optional donation in honor of this special occasion, please do so below..
I would like to donate:
$28$56$100$180$770Other
Total
$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

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Holiday Date

DO YOU HAVE A JEWISH NAME?!

Hebrew Naming Ceremony for Women and Girls

REGISTRATION FORM

Parents Information

There's no charge to take part, and receive a Jewish/Hebrew name!