Brit Milah Checklist

– Your full Name: 

– Your address:

– Your e-mail address: 

– Your spouse’s e-mail address and cell number: 

– Your home and cell numbers:

– The date and time of the baby’s birth:

– If the baby has not arrived, when is your due date?

– Is this your first child?

– What are the names and ages of your other children? 

– Are you having a scheduled/elective cesarean section? 

– Has the sex of the baby been confirmed by sonogram?

– When is the scheduled date of delivery?

– Were you on any “blood thinners” such as: Heparin or Lovinox during this pregnancy?

– Were you treated for a coagulopathy disorder during this pregnancy?

– Baby’s full English name:

– Baby’s Hebrew name:

– PARENT #1  full English name and date of birth:

– PARENT #1  Hebrew name:

– PARENT #2  English name and date of birth:

– PARENT #2  Hebrew name:

– Sandak’s name:
It is the highest honor at the Bris and is usually reserved for the grandfather(s). It is not unusal to have both grandparents share this honor as co-sandaks. 

– Sandak’s relationship to the baby:
Kvatter/Kvatterin: This is the person/people who brings the baby in the room. It is usually the mother and father.

– What are the names of the baby’s grandparents, great-grandparents and step-grandparents who will be attending the ceremony?

– Will a Rabbi be present? 

– Who will cut the Challah and say the Motsi?

– This honor is usually reserved for the grandfather(s)/ great-grandfather(s). 

– What is his relationship to the baby? 

– The names of two (2) witnesses for the Bris certificate: It should be noted that if the mother of the baby is not Jewish, then the witnesses should be an Adult Jewish person who is not a blood relative of the baby.

– The telephone number of your pharmacy: This is required so that a prescription for EMLA Cream (topical anesthetic) may be called into your pharmacy. After Dr. Roberts examines your son he will apply the EMLA Cream to the penis.

– Name and complete address of where the Bris will take place.

– The e-mail address and telephone number of the family/friend hosting the Bris.
 
– Does the Bris street and town address differ from the GPS address?

– Date and time of the Bris. 

– Actual time that the Bris is to begin. 

– Whom may we thank for referring you to this site? 

– What is their e-mail address? 


Please send the completed Brit Checklist to Dr. Roberts so he may review it prior to the Bris.