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.)
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.)
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? (Please email me at
)
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)
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)