Dear Bride & Groom,

Mazel Tov on your engagement and forthcoming marriage.

We at the Beth Emeth Bais Yehuda Synagogue are delighted that you will be celebrating your simcha in our synagogue. As the Rabbi of the congregation, I look forward to meeting with you, and to making your wedding ceremony a beautiful and meaningful experience.

In preparation for the ceremony, please complete the attached questionnaire. Confirmation of your wedding date cannot be made until I receive this form, so try to return it as soon as possible. Please note that you must obtain a civil marriage license prior to the wedding.

Please call me approximately three months before your wedding date to make an appointment for us to meet together. At that time, I will explain the Jewish wedding ceremony, answer any questions you may have, and discuss marriage-related issues. It will also provide us with an opportunity to get to know each other.

Once again, Mazel Tov! May you enjoy good health, love and happiness throughout your lifetime together.

Yours truly,

Rabbi Howard Morrison Beth Emeth Bais Yehuda Synagogue

A. WEDDING CEREMONY 1. Date: ______2. Time of Ceremony: ______

B. GROOM 1. Full English Name: ______2. Current Address: ______3. Phone Numbers: Home ______Mobile: ______Work: ______4. Email Address: ______5. Date of Birth: ______6. Is Groom Jewish by birth? ______7. Groom’s Hebrew name (first & middle; may be written in English Letters) ______8. Is Groom Jewish by conversion? ______If so, by whom? ______9. Is Groom a Kohen: ______Levi: ______Yisrael ______10. Groom’s Father’s English Name: ______11. Groom’s Father’s Hebrew Name: ______12. Is Groom’s Father Jewish by birth: ______Jewish by conversion: ______If so, by whom? ______Not Jewish ______13. Groom’s Mother’s English name: ______14. Groom’s Mother’s Hebrew name: ______15. Is Groom’s Mother: Jewish by birth: ______Jewish by conversion: ______If so, by whom? ______Not Jewish: ______16. Is Groom an Adopted Child? ______17. Is this the Groom’s first marriage? ______If not, please provide name(s) of previous wife (wives) and information on termination of previous marriage(s): ______18. Did the groom deliver a Get? ______19. Who arranged the Get? ______

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C. BRIDE

1. Full English Name: ______2. Current Address: ______3. Phone Numbers: Home ______Mobile: ______Work: ______4. Email Address: ______5. Date of Birth: ______6. Is Bride Jewish by birth? ______7. Is Bride Jewish by conversion? ______If so, by whom? ______8. Bride’s Hebrew name (first & middle; may be written in English Letters) ______9. Is Bride a Bat Kohen: ______Bat Levi: ______Bat Yisrael: ______10. Bride’s Father’s English Name: ______11. Bride’s Father’s Hebrew Name: ______12. Is Bride’s Father Jewish by birth: ______Jewish by conversion: ______If so, by whom? ______Not Jewish ______13. Is Bride’s father: Living ______Deceased ______14. Bride’s Mother’s English name: ______15. Bride’s Mother’s Hebrew name: ______16. Is Bride’s Mother: Jewish by birth ______Jewish by conversion: ______If so, by whom? ______Not Jewish: ______17. Is Bride an Adopted Child? ______18. Is this the Bride’s first marriage? ______If not, please provide name(s) of previous husband(s) and information on termination of previous marriage(s): ______19. Did the bride receive a Get? ______20. Who arranged the Get? ______

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D. COUPLE

Address after marriage: ______

E. OFFICIANTS

If you plan to ask a Rabbi or Cantor other than those of the Beth Emeth Synagogue to perform the ceremony, please provide their names and addresses:

Please note that the Rabbi and Cantor of the Beth Emeth Synagogue reserve the right to officiate/co-officiate.

DO NOT WRITE BELOW:

1. O/CO: ______2. C: ______3. LL: ______4. LN: ______5. WK: ______6. WL: ______7. T: ______8. LS: ______

Wedding Intake Form: Page 4 of 4