Wedding Officiating - Chabad Young Professionals

Wedding Date*

MonthDayYear

Location*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Bridegroom

English Name*

First NameMiddle NameLast Name

Hebrew Name*

Date of Birth*

MonthDayYear

Birthplace*

Phone Number*

Area CodePhone Number

E-mail*

Father's Full Name*

First NameMiddle NameLast Name

Father's Hebrew Name*

KohenLeviYisrael

Is he living?*

His Father's Hebrew Name*

His Mother's Hebrew Name*

Mother's Full Maiden Name*

First NameMiddle NameLast Name

Mother's Hebrew Name*

Her Father's Hebrew Name*

Her Mother's Hebrew Name*

Are both parents Jewish by birth?*

YesNo

If answer is no, please give full details

Have they ever been married before?*

YesNo

Are you an adopted child?*

YesNo

Previous Marriage

Date

MonthDayYear

Children?

YesNo

How terminated?

Date of Get (if by divorce)

MonthDayYear

Rabbi who issued Get

Address of Rabbi

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

I hereby certify that the information given above is correct.

Signature of Bridegroom*

Bride

English Name*

First NameMiddle NameLast Name

Hebrew Name*

Date of Birth*

MonthDayYear

Birthplace*

Phone Number*

Area CodePhone Number

E-mail*

Father's Full Name*

First NameMiddle NameLast Name

Father's Hebrew Name*

KohenLeviYisrael

Is he living

His Father's Hebrew Name*

His Mother's Hebrew Name*

Mother's Hebrew Name*

Mother's Full Maiden Name*

First NameMiddle NameLast Name

Her Father's Hebrew Name

Her Mother's Hebrew Name*

Are both parents Jewish by birth?*

YesNo

If the answer is no, please give full details

Have they ever been married before?

YesNo

Are you an adopted child?*

YesNo

Previous Marriage

Date

MonthDayYear

Children

YesNo

How terminated?

Date of Get (if terminated by divorce)

MonthDayYear

Rabbi who issued Get

Address of Rabbi

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

I hereby certify that the information given above is correct.

Signature of Bride*

Reception

Location

Caterer

Documents

Below is a list of documents (don't get too scared) that would be helpful in allowing us to expedite the verification process necessary for marriage. Of course, whatever you can collect the better. If there is something you don't have, please indicate that.

Birth Certificate of Groom
Birth Certificate of Bride
Copy of Driver's License of Groom
Copy of Driver's License of Bride
Copy of Passport of Groom
Copy of Passport of Bride
Copy of Teudat Zehut of Groom
Copy of Teudat Zehut of Bride
Ketubah of Parents of Bride
Ketubah of Parents of Groom
Birth Certificate of mother of Groom
Birth Certificate of mother of Bride
Birth Certificate of maternal grandmother of Groom
Birth Certificate of maternal grandmother of Bride
Picture of Groom’s maternal grandmother’s grave
Picture of Bride’s maternal grandmother’s grave
Ketubah of grandparents of Groom
Ketubah of grandparents of Bride
Ketubah of married siblings
Circumcision document of Groom
Divorce documents of previous marriage of bride or groom, or of divorced parent(s).
Conversion document of bride or groom, or of converted parent(s).
Email all above documents to [email protected]

Marriage Ceremony Registration Form