Birth Information & Baby Naming

Source Form

BABY INFORMATION

Baby's Full Name

If the baby’s name has not yet been determined please enter “Baby [Last Name]”

Pronoun(s)

Which pronoun(s) would you like us to use?

Baby's Hebrew Name (May be added later)

Named After

Date of Birth

Hebrew Date (if known)

Date of Naming

Hebrew Date (if known)

Would you like to add another baby to this form, to be named together with Baby 1?

YesNo

Does this baby have the same parents as Baby 1?

YesNo

Different Parent Text

Please have this baby's parents complete this form separately.

ADDITIONAL BABY INFORMATION

Baby's Full Name

If the baby’s name has not yet been determined please enter “Baby [Last Name]”

Pronoun(s)

Which pronoun(s) would you like us to use?

Baby's Hebrew Name (May be added later)

Named After

Date of Birth

Hebrew Date (if known)

Date of Naming

Hebrew Date (if known)

FAMILY INVOLVEMENT AT WHC

Please tell us about your family's involvement in Temple life (e.g. committees you serve on, projects you are involved with, your congregational legacy, life events you've celebrated at WHC, etc.):

NOTES

Officiation donation to be made to the Lewis S. Wiener Annual Fund: $500 Temple Members / $1,200 Non-Members

Allow announcements in the Journal and website?

YesNo

Allow baby’s name to be read at next High Holy Day service?

YesNo

Interested in sponsoring our Pre-Neg and Oneg in honor of your upcoming Simcha?

Pre-Negs and Onegs help make Friday nights even more special and are a meaningful way to celebrate with our WHC community. Information can be found at whctemple.org/oneg.

ENTER STAFF CODE

STAFF ONLY

CEREMONY INFORMATION

Officiating Clergy

Ceremony Held At

Other Location

Time

Street Address

City

State

Zip Code

NOTES

INTAKE MEETING

Clergy

Meeting Date & Time

Meeting Location

OFFICIATION FEES

TOTAL

Date Paid