Wedding Registration Form Bride & Groom

Wedding Registration
Form for the Bride & Groom

Mazal Tov and thank you for choosing Chabad At Monterra for your special day. Wedding services will be officiated by Rabbi Adi Goodman.

Please fill out all of the below fields and submit back to us when completed.
All paperwork should be emailed to [email protected]
We look forward to celebrating with you on your special day.
MAZAL TOV!

Section 1 - Groom Questionnaire

General information about the Groom

Groom Full Name

First Name Last Name

Groom Phone

Area Code Phone Number

Groom E-mail

Groom Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Groom Birth Date

Month Day Year

Groom Time of Birth

Hour Minutes

Groom Place of Birth

Groom's Hebrew Name

What is the grooms Jewish Status:

CohenLeviYisroelNot Sure

Groom's Father's Name

First Name Last Name

Groom's Father's Hebrew Name

Groom's Mother's Name

First Name Last Name

Groom's Maternal Grandmother's Hebrew Name

Bride Full Name

First Name Last Name

Groom's Mother's Hebrew Name

Section 2 - Marriageable Status

This section only applies to those that have conversions in the family, are widowed, or are divorced. If section 2 does not apply, you can continue from section 3.

Are there any conversions on the groom's side

Yes on the groom's fathers sideYes on the groom's Mothers sideNo conversions on either side

Conversion details If there are conversions on either side please provide the name of the Beth Din that completed the conversion process and the date of conversion

Has the groom been previously married?

This will be the groom's first marriageDivorcedWidowed

Date of previous marriage If applies

Month Day Year

Location of previous marriage If applies

Date of divorce If applies

Month Day Year

In the case of Divorce, Was a Get given?

YesNoPrevious spouse was not Jewish

Date "The Get" was given If applies

Month Day Year

Name of the Beth Din that performed the Get Ceremony If applies

Address of Beth Din

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number of Beth Din

Area Code Phone Number

Section 3 - Wedding Details

Date and Time of the Wedding

Month Day Year

at Hour Minutes

Venue address Exact location how it is listed

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Will there be a custom Ketuba being prepared?

YesNo

Section 4 - Agreement

Declaration for the groom* Please check box. A checked box is considered as a signature

I herby declare that all the details above were given with goodwill and are correct. I, therefore, request a marriage to be conducted according to the laws of Moses and Israel.Decline

Classes* Please check box. A checked box is considered as a signature

I agree to have at least 4 marriage classes with Rabbi Adi before the weddingDecline

Section 1 - Bride Questionnaire

General information about the Groom

Bride Full Name

First Name Last Name

Bride Phone

Area Code Phone Number

Bride E-mail

Bride Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Bride Birth Date

Month Day Year

Bride Time of Birth

Hour Minutes

Bride Place of Birth

Bride's Hebrew Name

What is the bride's Jewish Status:

CohenLeviYisroelNot Sure

Bride's Father's Name

First Name Last Name

Bride's Father's Hebrew Name

Bride's Mother's Name

First Name Last Name

Bride's Mother's Hebrew Name

Bride's Maternal Grandmother's Hebrew Name

Section 2 - Marriageable Status

This section only applies to those that have conversions in the family, are widowed, or are divorced. If section 2 does not apply, you can continue from section 3.

Are there any conversions on the bride's side

Yes on the bride's fathers sideYes on the bride's Mothers sideNo conversions on either side

Conversion details If there are conversions on either side please provide the name of the Beth Din that completed the conversion process and the date of conversion

Has the bride been previously married?

This will be the bride's first marriageDivorcedWidowed

Date of previous marriage If applies

Month Day Year

Location of previous marriage If applies

Date of divorce If applies

Month Day Year

In the case of Divorce, Was a Get given?

YesNoPrevious spouse was not Jewish

Date "The Get" was given If applies

Month Day Year

Name of the Beth Din that performed the Get Ceremony If applies

Address of Beth Din

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number of Beth Din

Area Code Phone Number

Section 3 - Wedding Details

Date and Time of the Wedding

Month Day Year

at Hour Minutes

Venue address Exact location how it is listed

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Will there be a custom Ketuba being prepared?

YesNo

Section 4 - Agreement

Declaration for the bride* Please check box. A checked box is considered as a signature

I herby declare that all the details above were given with goodwill and are correct. I, therefore, request a marriage to be conducted according to the laws of Moses and Israel.Decline

Classes* Please check box. A checked box is considered as a signature

I agree to have at least 4 marriage classes with Rabbi Adi before the weddingDecline

Fees* Please check box. A checked box is considered as a signature

I understand that the fee to perform the marriage ceremony is $1,800.00I agree that if the wedding will be outside of the south florida tri-county area, (Dade, Broward, Palm Beach)the family is responsible to reimburse all travel costs, and expenses this includes: Flights/Travel expenses for both Rabbi Adi and Malky Kosher food Trasportation / Car Rental all other related expensesI understand that there is a $200.00 non-refundable deposit to hold the date. The deposit will be deducted from the total wedding fee of $1,800.00The final $1,600.00 balance is due 14 days prior to the wedding date

Section 5 - Deposit

Deposit Charge* Please check box. A checked box is considered as a signature

$200.00 Deposit Fee

Payment

Credit Card Paypal

Postal / Zip Code

Country

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