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Questionnaire for Bride and Groom

Wedding Date:

MM slash DD slash YYYY

Time of Ceremony:

Location:

Name of host(s):

Rabbi:

Cantor:

BRIDE

Bride

Miss

Ms.

Dr.

Full English Name:

Hebrew Name:

Present Address:

Address after marriage:

City:

Province/State:

Postal Code:

Home Phone:

Cell Phone:

Work Phone:

Email address:

Date of Birth:

MM slash DD slash YYYY

Place of birth:

(Municipality, province, or country)

Citizenship:

Place where birth was registered:

Were you adopted?

If yes, please provide adoption documents

Have you been married before?

If yes, are you:

Date of divorce:

Please attach civil and get paperwork

Date of death of spouse:

Do you have any children?

If yes, please provide their names and dates of birth:

Are both your parents Jewish by birth?

Have either of your parents converted to Judaism?

Are both your parents living?

Has either parent ever been married to anyone else?

FATHER'S FULL ENGLISH NAME:

Kohen

Levi

Israel

Father’s Hebrew Name:

in English

Son of:

Father's Hebrew name

Marital Status:

Name of current spouse (if not your mother):

MOTHER'S FULL GIVEN NAME AND MAIDEN NAME:

Mother’s Hebrew Name:

(in English)

Daughter of:

Father's Hebrew name

Marital Status:

Name of current spouse (if not your father):

Siblings' names:

Please indicate if they have spouses and/or children

Grandparents' names (if living):

Birth name of civil witness:

(This may be anyone you choose)

First language still spoken:

Last year of school completed:

GROOM

Full English Name:

Hebrew Name:

Present Address:

Address after marriage:

Phone (Home):

Phone (Mobile):

Phone (Office):

Email address:

Date of Birth:

MM slash DD slash YYYY

Place of Birth (municipality, province, or country):

Citizenship:

Place where birth was registered:

Were you adopted?

Yes

No

If you were adopted, please provide adoption documents:

Have you been married before?

Yes

No

If yes, are you:

Divorced

Widowed

Date of divorce:

(Attach civil and get papers)

Date of death of spouse:

Do you have any children?

Yes

No

If yes, please provide their names and dates of birth:

Are both your parents Jewish by birth?

Father

Mother

Did either of your parents convert to Judaism?

Yes (Please provide conversion papers)

No

Are both your parents living?

Yes

No

Has either parent ever been married to someone else?

Yes

No

FATHER'S FULL ENGLISH NAME:

Kohen

Levi

Yisrael

Father's Hebrew Name:

Son of:

(Father's Hebrew Name)

Marital Status:

Name of current spouse if not your mother:

MOTHER'S FULL GIVEN NAME AND MAIDEN NAME:

Mother’s Hebrew Name, if known:

Daughter of:

(Father's Hebrew Name)

Marital Status:

Married

Separated/Divorced

Widower

Deceased

Name of current spouse (if not your father):

Siblings' Names:

Please indicate if they have spouses and/or children

Grandparents' Names:

If living

Birth name of civil witness:

This may be anyone you choose.

First language still spoken:

Last year of school completed:

Primary

Secondary

College

University

Date

MM slash DD slash YYYY

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Contact Us

450 Kensington Avenue
Westmount, Québec
H3Y 3A2

514.937.9471
info@theshaar.org
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