Cantor Philip L. Sherman, Mohel

1. Parents Last Name(s)


2. Parents Email Address


3. Date of Event

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


4. What is the father's English name


5. What is the 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 Yisrael Don't know

7. What is the mother's English name


8. What is the 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 Yisrael Don't 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?
Reform Conservative Orthodox

12. What is your home address?


13. What is your home phone number?


14. What is the address where the bris will be taking place?
(Please include the name of the synagogue, country club, etc.)


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? (Fax: 914.285.9713 or email: )

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, mother or mother-in-law helping you out at home?
Nurse Doula Mother Mother-in-Law 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

Have you made a list of the people whom you wish to include in the ceremony?
(The parents of the baby give out the honors and are not usually included in the ceremony. The same person should not be given multiple honors and the same person should not be the Sandak at every Bris.)
Use their English names please.(I suggest keeping these a secret until the bris.)
You do NOT need to indicate the relationship - just the name of the honoree.
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)

FINALLY (and this is the ONLY compulsory question):

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