Cantor Philip L. Sherman, Mohel

1. Parent's Last Name(s)


2. Parent's Email Address


3. Event Date

Event Time
(The time you want the ceremony to begin.
Please invite your guests for one-half hour earlier!)


4. Father's English name


5. Father's complete Hebrew/Jewish name? (For example: Reuven ben Ephraim.)


6. Is the father of the baby a Kohen, Levi or Israelite?
(Then it might be: Reuven ben Ephraim Halevi.
If you don't know, you're probably an Israelite.)
Kohen Levi Israelite Do Not Know

7. Mother's English name


8. Mother's complete Hebrew/Jewish name?


9. Is the mother's father a Kohen, Levi or Israelite?
(Again, if you don't know, you're probably an Israelite.)
Kohen Levi Israelite Do Not Know

The other information I will need to know is:

10. Are both parents Jewish by birth?
Yes No

11. If either parent converted to Judaism was the conversion Reform? Conservative? Orthodox?


12. What is your complete home address?
Street Address:
Apartment # (If applicable)
City State Zip

13. What is your home phone number?


13A. What is your cell phone number?


14. What is the address where the bris will be taking place?
(Include the name of the restaurant, synagogue, country club, etc.)
If the bris will be taking place at the same address as in #13 above, type "Same."


15. What is the phone number of the location where the bris is taking place?


16. What are the directions to get to the bris? (I only need directions if it is a new development or the address is not found on Google or Mapquest.) Please email the directions to: )

17. What is the baby's English name in full?

(if twins)

18.What is the baby's Hebrew/Jewish name in full? (If you need help, visit the Naming Guide or call me. Also, I would suggest keeping the name a secret until the Bris.)

(if twins)

19. What is the baby's birthday?


20. What time of day or night was the baby born?


21. What hospital was the baby born in?


22. Was it a c-section?
Yes No

23. How much did the baby weigh at birth? (round up to the nearest ounce):


24. How long was he? (round up to the nearest quarter inch):


25. Is everyone healthy at home (colds, flu, etc.)?
Yes No. If "No" please explain:


26. Is there anything that would impede or affect the healing of the circumcision?
Yes No. If "Yes" please explain:


27. Is there any history of bleeding disorders in your families?
Yes No. If "Yes" please explain:


28. Is there any reason the baby cannot be circumcised?
Yes No. If "Yes" please explain:


29. Do you have a nurse, doula, or Mom helping you out at home?
Nurse Doula Grandmother No

30. Were there any previous pregnancies that went beyond six weeks?
Yes No.

31. Did you print the Supply List and Bris Instructions from my web site?
Yes No.

32. Honors

The custom is for the parents of the baby to give out the honors at a Bris. The parents of the baby are not usually included in the ceremony. The same person should not be given multiple honors at a Bris and the same person should not be the Sandak at every Bris.

Please type the first name of the honoree ONLY. I do not need to know the relationship. (If there is more than one person at the Bris with the same first name, please include their last name.) I recommend keeping the Honors (and the baby's Jewish name) a secret until the Bris.

For the naming of a girl (of boy/girl twins), please add a second name in the field with an asterisk (*).



More information on how to distribute the honors and to whom.

Bring Baby In* (Kvatter/Kvatterin):

(can be one or two people; usually a grandmother)

Chair of Elijah:

(can be one or two people - must be Jewish. What is the Chair of Elijah?)

Hold for Bris (Sandak):

(one person-must be Jewish; usually the paternal grandfather for the first boy.)

Hold for Naming* (Standing Sandak):

(can be one or two people; usually the maternal grandfather for the first boy)

Take Baby Out*:

(can be one or two people; usually the other grandmother)

FINALLY (and these are the ONLY compulsory questions):

I have read and understand the risks, benefits and alternatives to performing a Bris/circumcision. I affirm that all of the information above is accurate and true.

Please type the word 'bris' in the box below to prove that you are a human being.
(It helps prevent automated spammers.) Thank you.