Student’s Name: _____________________ Bar/Bat Mitzvah Date: _________________
Student’s Full Hebrew Name: _______________________________________________
Parent(s’) Name(s): ________________________________________________________
Names and Ages of Siblings: ________________________________________________
Instructions: Please fill in every appropriate blank on this sheet with the full name of the person who will be honored. Be sure to PRINT clearly. Return this form to Rabbi Bellows at least TWO WEEKS before the date of your Bar/Bat Mitzvah.
Please note: Non-Jews are permitted to be Ark Openers, and may accompany Jews up to the bimah for an Aliyah.
Presentation of the Tallit: 1. __________________________________________________
ARK OPENERS #1: 1. __________________________________________________
(Beginning of Torah Service) 2. __________________________________________________
ARK OPENERS #2: 1. __________________________________________________
(Returning Torah to Ark) 2. __________________________________________________
TO UNDRESS THE TORAH: 1. ____________________________________________
(Excellent for younger siblings) 2. ____________________________________________
TO DRESS THE TORAH: 1. ____________________________________________
2. ____________________________________________
ALIYOT: (1-4 people, at least one Jew – all over the age of 13 – per aliyah. The third aliyah is traditionally performed by the parents of the Bar/Bat Mitzvah celebrant, and the fourth aliyah is reserved for the Bar/Bat Mitzvah Celebrant. Be sure to include full English and Hebrew names of each honoree.)
ENGLISH NAME HEBREW NAME
(in the form “Yitzchak ben (son of) Avraham v’Sarah –
Isaac son of Abraham and Sarah, or “Miriam bat Kalman
v’Brachah,” Miriam, daughter of Kalman and Brachah)
1st Aliyah –
a.___________________________________ ___________________________________
b.___________________________________ ___________________________________
c.___________________________________ ___________________________________
d.___________________________________ ___________________________________
2nd Aliyah –
a.___________________________________ ___________________________________
b.___________________________________ ___________________________________
c.___________________________________ ___________________________________
d.___________________________________ ___________________________________
3rd Aliyah –
a.___________________________________ ___________________________________
b.___________________________________ ___________________________________
c.___________________________________ ___________________________________
d.___________________________________ ___________________________________
Please mail this sheet to the main office, attn: Rabbi Marci Bellows, or fax to 516-221-5082.