Baby's name: _______________________
Baby's Hebrew name: ________________
Father's name: ______________________
Father's Hebrew name: _______________
Mother's name: _____________________
Mother's Hebrew name: ______________
Siblings' Name(s): ___________________ ___________________
___________________ ___________________ ___________________
Was the father born Jewish? Yes No
If no did father ever convert? Yes No
Was the mother born Jewish? Yes No
If no did mother ever convert? Yes No
Lighting the candles: _________________
Carrying the baby in: _________________
Placing the baby on the symbolic chair: __________________________
Sandek: ____________________________
Holding the baby during the naming: ____________________________
Naming the baby: ____________________
Referred By: ______________________________
Pediatrician's Name, Address & Phone
______________________________
______________________________
______________________________
Ob/Gyn's Name, Address & Phone
______________________________
______________________________
______________________________
|
