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General Information:
Mother's Name:
Father's Name:
Mitzvah (This refers to the name of the Bar/Bat Mitzvah):
Your Mailing Address:
Your Email Address:
Phone Number(s):
Event Date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2013
2014
2015
2016
2017
Event Time:
Select Time
Noon
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
7:00 PM
7:30 PM
8:00 PM
8:30 PM
9:00 PM
9:30 PM
10:00 PM
10:30 PM
11:00 PM
11:30 PM
Midnight
12:30 AM
1:00 AM
1:30 AM
2:00 AM
2:30 AM
3:00 AM
3:30 AM
4:00 AM
4:30 AM
5:00 AM
5:30 AM
6:00 AM
6:30 AM
7:00 AM
7:30 AM
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
Venue Address:
Venue Phone Number:
Contact Person at Venue:
Setting:
Indoor
Outdoor
Total Number of Adult Guests:
Total Number of Youth Guests:
Cocktail Hour for Adults:
Yes
No
Type of Cocktail Music:
Games for Children During Cocktail Hour?:
Yes
No
Same or Different Room as Cocktails?:
Video Presentation/Slide Show:
Yes
No
If Yes, What Time and Will There Be an Introduction?:
Time of Dinner:
Select Time
Noon
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
7:00 PM
7:30 PM
8:00 PM
8:30 PM
9:00 PM
9:30 PM
10:00 PM
10:30 PM
11:00 PM
11:30 PM
Midnight
12:30 AM
1:00 AM
1:30 AM
2:00 AM
2:30 AM
3:00 AM
3:30 AM
4:00 AM
4:30 AM
5:00 AM
5:30 AM
6:00 AM
6:30 AM
7:00 AM
7:30 AM
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
Type of Dinner:
Buffet
Individually Served
Will children eat the same meal as the adults?:
Yes
No
Games for Children During Dinner?:
Yes
No
Official Introductions:
Grandparents (1):
Song (1):
Grandparents (2):
Song (2):
Parents (1):
Song (3):
Parents (2):
Song (4):
Brother (1):
Age/Comments/Song (5):
Brother (2):
Age/Comments/Song (6):
Sister (1):
Age/Comments/Song (7):
Sister (2):
Age/Comments/Song (8):
Aunts:
Yes
No
Aunts Song Introduction:
Uncles:
Yes
No
Uncles Song Introduction:
Mitzvah/Song:
High Energy or Low Key Introduction:
High Energy
Low Key
Will there be dancing before introductions?:
Yes
No
Will there be dancing after introductions/before dinner?:
Yes
No
Candlelighting:
Name of Candle Assistant::
Will they speak?:
Yes
No
Candle 1:
Song 1:
Will this person speak?(1):
Yes
No
Candle 2:
Song 2:
Will this person speak? (2):
Yes
No
Candle 3:
Song 3:
Will this person speak? (3):
Yes
No
Candle 4:
Song 4:
Will this person speak? (4):
Yes
No
Candle 5:
Song 5:
Will this person speak? (5):
Yes
No
Candle 6:
Song 6:
Will this person speak? (6):
Yes
No
Candle 7:
Song 7:
Will this person speak? (7):
Yes
No
Candle 8:
Song 8:
Will this person speak? (8):
Yes
No
Candle 9:
Song 9:
Will this person speak? (9):
Yes
No
Candle 10:
Song 10:
Will this person speak? (10):
Yes
No
Candle 11:
Song 11:
Will this person speak? (11):
Yes
No
Candle 12:
Song 12:
Will this person speak? (12):
Yes
No
Candle 13:
Song 13:
Will this person speak? (13):
Yes
No
Candle 14:
Song 14:
Will this person speak? (14):
Yes
No
Candle 15:
Song 15:
Will this person speak? (15):
Yes
No
Special Events:
Havdalah (if applicable):
Yes
No
Wash Hands (if applicable):
Yes
No
Motzi (if applicable):
Yes
No
Motzi assisted by:
Father
Grandfather
Canter
Rabbi
Kiddish (if applicable):
Yes
No
Cake Cutting:
Yes
No
Hora:
Yes
No
Will a Chair be Used?:
Yes
No
Will just the mitzvah be raised in the chair?:
Yes
No
If no, list whom in order:
Will Boys/Girls Dance Together?:
Yes
No
Will Men/Women Dance Together?:
Yes
No
Mitzvah's First Dance:
Father/Daughter:
Yes
No
Father/Daughter Song:
Mother/Son:
Yes
No
Mother/Son Song:
Will Other Family Members Dance with Mitzvah?:
Yes
No
Family Member #1:
Family Member #2:
Family Member #3:
Any Other Info We Need To Know?
Comments:
Photographer:
Photographer Name:
Photographer Phone:
Photographer FAX:
Photographer Mobile Phone:
Photographer Email:
Photographer Web Site:
Photographer Timing:
Videographer:
Videographer Name:
Videographer Phone:
Videographer FAX:
Videographer Mobile:
Videographer Email:
Videographer Web Site:
Videographer Timing:
Florist
Florist Name:
Florist Phone:
Florist FAX:
Florist Mobile Phone:
Florist Email:
Florist Web Site:
Florist Timing:
Cake
Cake Name:
Cake Phone:
Cake FAX:
Cake Mobile Phone:
Cake Email:
Cake Web Site:
Cake Timing:
Coordinator:
Coordinator Name:
Coordinator Phone:
Coordinator FAX:
Coordinator Mobile Phone:
Coordinator Email:
Coordinator Web Site:
Coordinator Timing:
Caterer
Caterer Name:
Caterer Phone:
Caterer FAX:
Caterer Mobile Phone:
Caterer Email:
Caterer Web Site:
Caterer Timing:
Canter:
Canter Name:
Canter Phone:
Canter FAX:
Canter Mobile Phone:
Canter Email:
Canter Web Site:
Canter Timing:
Rabbi:
Rabbi Name:
Rabbi Phone:
Rabbi FAX:
Rabbi Mobile Phone:
Rabbi Email:
Rabbi Web Site:
Rabbi Timing:
Band:
Band Name:
Band Phone:
Band FAX:
Band Mobile Phone:
Band Email:
Band Web Site:
Band Timing:
Balloons:
Balloons Name:
Balloons Phone:
Balloons FAX:
Balloons Mobile Phone:
Balloons Email:
Balloons Web Site:
Balloons Timing:
Singers
Singers Name:
Singers Phone:
Singers FAX:
Singers Mobile Phone:
Singers Email:
Singers Web Site:
Singers Timing:
Place Cards:
Place Cards Name:
Place Cards Phone:
Place Cards FAX:
Place Cards Mobile Phone:
Place Cards Email:
Place Cards Web Site:
Place Cards Timing:
Ice Sculpture:
Ice Sculpture Name:
Ice Sculpture Phone:
Ice Sculpture FAX:
Ice Sculpture Mobile Phone:
Ice Sculpture Email:
Ice Sculpture Web Site:
Ice Sculpture Timing:
Rentals
Rentals Name:
Rentals Phone:
Rentals FAX:
Rentals Mobile Phone:
Rentals Email:
Rentals Web Site:
Rentals Timing:
Assistant
Assistant Name:
Assistant Phone:
Assistant FAX:
Assistant Mobile Phone:
Assistant Email:
Assistant Web Site:
Assistant Timing:
Linens
Linens Name:
Linens Phone:
Linens FAX:
Linens Mobile Phone:
Linens Email:
Linens Web Site:
Linens Timing:
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