Benei Mitzvah Date Request Form

To learn more about the Benei Mitzvah process at Beth Shalom check out this FAQ (frequently asked questions) document.

If you are interested in your child becoming a Benei Mitzvah at Congregation Beth Shalom, fill out the form below. We will review it and someone from the CBS staff will contact you regarding a meeting to discuss planning and scheduling. For questions, contact Rabbi Mark Asher Goodman at mgoodman@bethshalompgh.org .

For more information

Name of Child *

First

Last

Child's Hebrew Name

Father's Hebrew Name

Mothers's Hebrew Name

Is the child's father a kohen or levi?

Father is a Kohen
Father is a Levi
Neither

Child's Birth Date *

Child was born:

Before sunset
After sunset

Hebrew Birth Date (if known)

Current Jewish Education: *

Child is currently enrolled in JJEP
Child is currently enrolled at Community Day
Child is currently enrolled at Hillel/Yeshiva
Other / none of the above

Parent 1 Name *

First

Last

Parent 1 Hebrew Name

Parent 1 Phone *

Parent 1 Email *

Parent 2 Name

First

Last

Parent 2 Hebrew Name

Parent 2 Phone

Parent 2 Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Please list your *first* choice for a Benei Mitzvah date *

Please list your *second* choice for a Benei Mitzvah date *

Please list your *third* choice for a Benei Mitzvah date *

A benei mitzvah does not represent an end to Jewish Education. It is the beginning of an obligation to the mitzvot. In recognition of this fact, I commit to completing my child's Jewish education through religious school/day school graduation. Our family intends to remain a part of the Beth Shalom Community after the benei mitzvah. TO AFFIRM TO THIS IN SIGNATURE FORM, TYPE YOUR NAME BELOW. *