B’nei Mitzvah Questionnaire and Honors Form

Your Email(Required)

Parent 1 full English name(Required)

Parent 1 Nickname

Parent 1 full Hebrew name(Required)

Parent 2 full English name

Parent 2 Nickname

Parent 2 full Hebrew name

Child’s full English Name:(Required)

Child's Nickname

Child’s full Hebrew Name:(Required)

Child's Secular School(Required)

Child's Grade Level(Required)

Could you please share your child's email so that we can communicate with them about upcoming teen programs?(Required)

Please enter N/A if they do not have a personal email or do not want to share their personal email

Could you please share your child's cell phone number so that we can communicate with them about upcoming teen programs?(Required)

Please enter N/A if they do not have a phone or do not want to share their phone number

Please describe briefly your child’s personality:(Required)

Please describe your child’s interests & accomplishments; include any volunteer work in the Jewish/general community:(Required)

How will your child be continuing his/her Jewish education?(Required)

How has your family been involved at Temple Emanuel?(Required)

Name(s) and age(s) of siblings:

Name(s) of grandparent(s) who will be attending the Service:

If there are deceased grandparents that you would like the rabbi to mention at the conclusion of the service, please list them:

Please indicate which service your child has prepared for:(Required)

Shabbat Morning

Shabbat Mincha

My child is a twin and I have filled in this information for their sibling

SHABBAT MORNING ALIYOT

Those named here will be called to the bimah to recite the blessings before and after a Torah reading. Feel free to click HERE for blessings and their melodies. Generally, family members will take the fifth and sixth aliyot and parents will be called up for the seventh aliyah. Please indicate if honoree is a kohain or levi.

EXAMPLE OF A FULL HEBREW NAME: ISAAC ben AVRAHAM v’SARAH

SHABBAT MINCHA ALIYOT

Those named here will be called to the bimah to recite the blessings before and after a Torah reading. Feel free to click HERE for blessings and their melodies. Generally, family members will take the first aliyah and parents will take the second. Please indicate if honoree is a kohain or levi.

EXAMPLE OF A FULL HEBREW NAME: ISAAC ben AVRAHAM v’SARAH

Does your child have any younger siblings who will be leading Ashrei or Ein Keloheinu?(Required)

Yes

Younger sibling full name(s)(Required)

Click + on the right to add multiple siblings

Family Aliyah #1

Honoree 1 full English name

Honoree 1 full Hebrew name

Honoree 1 relationship to child

Honoree 2 full English name

Honoree 2 full Hebrew name

Honoree 2 relationship to child

Will parents be taking the next Aliyah?(Required)

Yes

Family Aliyah #2

Honoree 1 full English name

Honoree 1 full Hebrew name

Honoree 1 relationship to child

Honoree 2 full English name

Honoree 2 full Hebrew name

Honoree 2 relationship to child

Will parents be taking the next Aliyah?(Required)

Yes

Family Aliyah #3

Honoree 1 full English name(Required)

Honoree 1 Nickname

Honoree 1 full Hebrew name(Required)

Honoree 2 full English name

Honoree 2 Nickname

Honoree 2 full Hebrew name

Other Honors

Please pick TWO honors and add the English names (First and Last) of the Honorees. ***This Honoree does not need to know Hebrew nor be Jewish

Please select your first Honor below:(Required)

First Honor Name

Please add name below

First Honor Relationship

Relationship to Child

Please select your second Honor below:(Required)

Second Honor Name

Please add name below

First Honor Relationship

Relationship to Child

Honors

***This Honoree does not need to know Hebrew nor be Jewish

***Open/Close Ark

Relationship to Child

Take Torah Out

Relationship to Child

Additional Honors

***This Honoree does not need to know Hebrew nor be Jewish

Lift Scroll

Please add name below

Lift scroll relationship

Relationship to Child

Tie Scroll

Please add name below

Tie scroll relationship

Relationship to Child

***Open/Close Ark

Please add name below

Open/Close ark relationship

Relationship to Child

Return Scroll to Ark

Please add name below

Return scroll relationship

Relationship to Child

***Open/Close Ark for Alenu

Please add name below

Open/Close ark for alenu relationship

Relationship to Child

For Evening Services

***This Honoree does not need to know Hebrew nor be Jewish

***Open/Close Ark for Alenu

Please add name below

Open/Close ark for alenu relationship

Relationship to Child

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Community

Shabbat & Prayer

Learning

Life Cycle Rituals

Music

Israel

Social Action

B’nei Mitzvah Questionnaire and Honors Form

SHABBAT MORNING ALIYOT

EXAMPLE OF A FULL HEBREW NAME: ISAAC ben AVRAHAM v’SARAH

SHABBAT MINCHA ALIYOT

EXAMPLE OF A FULL HEBREW NAME: ISAAC ben AVRAHAM v’SARAH

Family Aliyah #1

Family Aliyah #2

Family Aliyah #3

Other Honors

Honors

Additional Honors

For Evening Services

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