B’nei Mitzvah Questionnaire

Your Email(Required)

Child’s full English Name:(Required)

Child’s full Hebrew Name:(Required)

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)

Child’s full English name (include a middle name if you would like it to appear)(Required)

Your English names (include titles if you would like them included)(Required)

If you would like a nickname used on the Bima, or if you would not like your title used verbally, please indicate how you would like to be addressed below:

Parent 1 full Hebrew name:(Required)

Please enter N/A if not applicable

Parent 2 full Hebrew name:(Required)

Please enter N/A if not applicable

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:

2024-25 Preschool Enrollment is now open!

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B’nei Mitzvah Questionnaire

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