Blessing for Health

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A special prayer is read for people who are in need for a speedy recovery.
This prayer is said at the end of the Torah reading and mentions the name of each individual.

Submit names below for a blessing for health (Mi Sheberach).
The names you submit below will be mentioned on Rosh Hashanah and Yom Kippur during the Torah reading in a special blessing made for people who need special prayers for health.

It is customary (not required) to make a donation in honor of the people receiving this blessing for health.
The text of the prayer for health mentions that charity was given in this person's honor.
You may give any amount, either specific for each person or one total amount for all.

The form below is for the 5785/2024 High Holiday Services.

* First Name

* Last Name

* Email

* Cell Phone

* How many names would you like to submit

* Person 1 Hebrew First Name

* Person 1 Hebrew Mothers Name

* Person 1 Gender

* Person 2 Hebrew First Name

* Person 2 Hebrew Mothers Name

* Person 2 Gender

* Person 3 Hebrew First Name

* Person 3 Hebrew Mothers Name

* Person 3 Gender

* Person 4 Hebrew First Name

* Person 4 Hebrew Mothers Name

* Person 4 Gender

* Person 5 Hebrew First Name

* Person 5 Hebrew Mothers Name

* Person 5 Gender

* Person 6 Hebrew First Name

* Person 6 Hebrew Mothers Name

* Person 6 Gender

* Person 7 Hebrew First Name

* Person 7 Hebrew Mothers Name

* Person 7 Gender

* Person 8 Hebrew First Name

* Person 8 Hebrew Mothers Name

* Person 8 Gender

* Person 9 Hebrew First Name

* Person 9 Hebrew Mothers Name

* Person 9 Gender

* Person 10 Hebrew First Name

* Person 10 Hebrew Mothers Name

* Person 10 Gender

Donation Amount

Other Amount

Grand Total

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