Before the bris I will need to know:

The Registration Form should be filled out after you have spoken with me and confirmed the time and date of the Brit Milah (and after the baby has been born). If you have not spoken with me or the baby has not yet been born, please do NOT fill out the Registration form.

NOTE: If you are the grandparents, a family member or a friend filling out the Registration form on behalf of the parents of the new baby, make sure you include their information and not yours. For example, I need the home address of the parents, the parents' email addresses and the parents' cell numbers.

Important! Please fill out the form carefully. Many parents are sleep deprived. All of the information on this form is for the parents of the baby (or babies), not the grandparents! Please review it at least once before you hit the "send" button.

Please punctuate and capitalize appropriately. Please do not use all capital letters or all lowercase letters. It will be greatly appreciated and save me a lot of time.

Please abbreviate wherever possible! For example, you may write St. instead of Street; 8.6 instead of 8 pounds 6 ounces; 4/26/10 instead of April 26, 2010; NY instead of New York, etc. Thank you.

If you are having a separate Baby Naming ceremony for your daughter (not boy/girl twins), please click here and fill in the Naming Registration form. This is for Naming ceremonies only.

If you need help with the Jewish names, please visit the Naming Guide section of my web site or call me. Also, I would suggest keeping the name a secret until the Bris.

Registration Form

Event

Day:     Date: (MM/DD/YYYY)

Ceremony Start Time*:  

(*Not the invitation time! Please invite the guests for one-half hour earlier)



Father/Parent 1 (or Single Parent)

Last name:    First name:    

Full Jewish name:

Status?    Is the Father/Parent 1 a convert to Judaism?



Mother/Parent 2

Last name:    First name:    

Full Jewish name:

Status?    Is the Mother/Parent 2 a convert to Judaism?




Contact email address:

Father/Parent 1 cell phone number: ( ) -

Mother/Parent 2 cell phone number: ( ) -

Do you prefer to be contacted by Text Email?



Baby

Last name:    First name:    Middle name(s):    

Jewish name:
(If you haven't figured out the baby's Hebrew/Jewish name, please leave it blank, complete the rest of the form and submit.)

Date of birth? (MM/DD/YYYY)   Time of birth?

Birth weight? lbs. oz.   Birth Length?



Second Baby


Last name:    First name:    Middle name(s):    

Jewish name:

Date of birth? (MM/DD/YYYY)   Time of birth?

Birth weight? lbs. oz.   Birth Length?


Was it a c-section? Yes No

Was the baby adopted? Yes No Speak to Cantor Sherman

Was the baby born via surrogate? Yes No Speak to Cantor Sherman




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


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


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


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


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



Sister

Also, would you like to have a Naming for an older sister? Yes No.

If yes: Last name:     First name:     Middle name(s):

Jewish name:

Date of birth? (MM/DD/YYYY)



Home Address

(I will need directions only if you live in a new development or the address is not found on Google or Mapquest.
Please email the directions to: )

Street Address:     Apartment # (If applicable)

City:    State:    Zip:



Bris Address

Where is the event taking place?

(I will need directions only if it is a new development or the address is not found on Google or Mapquest.)
Please email the directions to: )

Name of Institution (if applicable):

Address:

City:    State:    Zip:

Phone number: ( ) -    or Email address:



Honors

The custom is for the parents of the baby to give out the honors at a Bris as the parents are not usually included in the ceremony. Individuals should not be given multiple honors at a Bris and the same person should not serve as the Sandak at every Bris. Non-Jewish family and friends may be included in the ceremony. Bringing the baby in and out of the room at the beginning and at the end of the ceremony and holding the baby for the Naming portion of the ceremony may be given to Jewish or non-Jewish family members or friends. The Sandak and Chair of Elijah honors should be given to Jewish family members or friends.

Traditionally, the grandmothers of the baby bring the baby in and out of the room either one at a time or together. If they are together, one grandmother holds on the way in and the other grandmother holds on the way out.

If this is the first boy in the family, the tradition is that the paternal grandfather should be the Sandak and the maternal grandfather should hold for the Naming. (Remember that the Sandak must be Jewish.) If the paternal grandfather has already served as Sandak, then the maternal grandfather should hold for the Bris and the paternal grandfather should hold for the Naming. Another possibility is that if the baby is being named in Hebrew for the paternal side of the family, then it may be more meaningful for the paternal grandfather to hold the baby for the Naming portion of the ceremony.

I suggest keeping the Honors (and the baby's Jewish name) a secret until the Bris.

The five main Honors are:

Bring Baby In:
Chair of Elijah:
Sandak I (Hold for Bris): (This Honor is given to one person only.)
Sandak II (Hold for Naming):
Take Baby Out:

It is possible to include a few more people, so please make a list of the 5-7 people you would like to include in the ceremony and bring it with you to the Bris. If you need to include more people in the ceremony, they may be added in a line-up after the baby is brought in but before the Chair of Elijah or you may have a group "Motzi" (blessing over the bread) before the festive meal begins. If you are going to do this, make sure you bring a challah which is not on the list of Supplies.

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

Name(s) of GREAT-Grandparent(s) of the baby attending?

Baby's Older Siblings (Names and ages)



Additional Information

Who referred you to me?

Last Name    First Name

Phone number? ( ) -   or Email address:


Did you give birth at:

Name of Institution:

City:     State:    Zip:

Phone number? ( ) -   or Email address:


Who is your Pediatrician? Last Name:   First Name:

Phone number? ( ) -   or Email address:


Who delivered your baby?

Last Name:   First Name:

Phone number? ( ) -  or Email address:   


 Who is helping you at home?

Last Name:   First Name:

Phone number? ( ) -   or Email address:


Do you belong to a synagogue? Yes No. If yes...

Name of Synagogue:

Address:

City:    State:    Zip:

Last Name of Rabbi:    First Name of Rabbi:

Phone number? ( ) -   or Email address:

Will there be a rabbi attending the event? Yes No

Are you affiliated? Yes No

If yes:



FINALLY (and these are the ONLY compulsory questions):

I have read and understand the Risks, Benefits and Alternatives to performing a Brit Milah/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.