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GIRL NAMING APPLICATION

 

Please fill online or
download
PDF version and fax it to Chabad House (403) 281-0338

PARENTS FIRST & LAST NAMES:

Home Address: 

Postal Code:   Home Phone:   Fax:  

Family email: 

Married   Divorced    

Date of marriage:                   

Place of marriage:  

Jewish Marriage:   YES   NO    

If YES: Congregation:  

City   Country

Name of Rabbi 

(Please attach Ketuba – Marriage Contract)

DAUGHTER'S INFO

Date of Birth:      Time:  am pm   

Hebrew Date (if known):    

Planned English name:

Planned Hebrew name:  

Planned Day of Naming:       

If you are planning to make a party, please check: 

Chabad House Other    Kosher Event  Yes    No

If you are planning to sponsor, please check:    

Kiddush     Adult Education Class      Dedicate a Brick         

Other    Please describe

Please describe all plans of the Naming celebration:

Please describe your specific requests (if any):

FATHER’S INFO: 

Father’s First Name:   Hebrew Name: 

JEWISH    KOHEN    LEVI    YISRAEL    CONVERTED

Grandfather’s (father’s father) first and last name:

Grandfather’s (father’s father) first Hebrew or Yiddish name:

JEWISH    KOHEN    LEVI    YISRAEL    CONVERTED

Grandmother’s (father’s mother) first and last name:

Grandmother’s (father’s mother) first Hebrew or Yiddish name:

JEWISH    KOHEN    LEVI    YISRAEL    CONVERTED

Father’s Work:

Address:    Postal Code: 

Phone:        Father's Cell: 

Email: 

List people who know you:

1.

2.

3.

MOTHER’S INFO: 

Mother’s First Name:    Hebrew Name: 

JEWISH    KOHEN    LEVI    YISRAEL    CONVERTED

Grandfather’s (Mother’s father) first and last name:

Grandfather’s (Mother’s father) First Hebrew or Yiddish name:

JEWISH    KOHEN    LEVI    YISRAEL    CONVERTED

Grandmother’s (mother’s mother) first and last name:

Grandmother’s (Mothers mother) first Hebrew or Yiddish name:

JEWISH    KOHEN    LEVI    YISRAEL    CONVERTED

Mother’s Work:

Address:   Postal Code: 

Phone:        Mother's cell phone: 

Email: 

List people who know you:

1.

2.

3.

GENERAL:

Were there any conversions and/or adoptions in the family? 

Yes  No

If yes, please explain:

In some cases proof of Jewish identity might be required. Rabbi Matusof will be more than happy to guide and help you get what ever is required. Please when possible gather as many Jewish documents as possible. (IE Ketuba, photos of headstones of grandparents, photos etc).