Lifecycle Event Request

* First Name

* Last Name

* Email Address

* Phone

* Are you a Har Shalom member?

* Have you spoken with the Rabbi about your event?

Has your event date been confirmed with the Rabbi?

What is the confirmed date?

* Event will be held at Har Shalom?

Approximate Number of Guests

* Type of Lifecycle Event

If other, please describe below

Baby's Name

Baby's Hebrew Name

Baby's Date of Birth

Baby's Gender

What day would you like to do the ceremony?

Please indicate whether you would like to do the ceremony on Shabbat, on Sunday, or a weekday.

Where would you like the ceremony to take place?

Please indicate whether it will be at Har Shalom or in a private home.

Hebrew Name

Are you working with a Tutor?

When were you thinking about having your Bar/Bat Mitzvah?

ie, next Spring, next Fall, etc.

Couples Names

Couples Hebrew Names

Have you selected a date for the wedding?

What is the date of your service?

* Are you planning to serve food at your event

Please provide as much information as possible regarding food service. For example, will it be catered or brought by family/friends? Snack or meal?

Please note: The Har Shalom kitchen and campus is dairy/parve (neutral) and vegetarian. No meat, chicken, or shellfish of any kind are permitted in the building.

Is there anything else you would like us to know about your event?

Thu, May 1 2025 3 Iyyar 5785

Har Shalom Center for Jewish Living • 725 West Drake Road, Fort Collins, CO 80526 • 970-223-5191 · Home
In the event of emergency, including a Rabbinic emergency, please call 970-223-5191 xt. 104

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