Bar/Bat Mitzvah Ceremony Form

Bar/Bat Mitzvah Ceremony Form
(If double B’nei Mitzvah, each family fills out their own form)
Please Print Clearly (and phonetically write out names that might be difficult to pronounce)

* Indicates required field

Full English Name of Bar/Bat Mitzvah: *

First

Last

Parent(s) Name(s): *

Hebrew Name: *

Father's Hebrew Name: *

Mother's Hebrew Name: *

Haftarah Portion: *

Page # *

Torah Portion (include chapters & verses): *

Page # *

First Ark Opening: *

Aliyot (for blessing the Torah):
1st Aliyah commonly recited by but not limited to grandparents;
2nd Aliyah commonly recited by parents;
3rd Aliyah reserved for B’nei Mitzvah

1. English Name *

Relation to Child *

Hebrew Name *

Ben/Bat *

V' *

2. English Name *

Relation to Child *

Hebrew Name *

Ben/Bat *

V' *

3. English Name *

Relation to Child *

Hebrew Name *

Ben/Bat *

V' *

Lift the Torah Scroll *

Dress the Torah Scroll *

Second Ark Opening (For returning the Torah): *

Siblings Prayer: *

Third Ark Opening (before Aleinu): *

Board of Trustees Representative: *

Closing Song: *

Are there any relatives who are deceased, whose names you would like read before Kaddish? *

Page # *

Notes: *

Submit