Ketubah Worksheet
Ketubah Information Sheet
Melanie Dankowicz
Client’s name: _________________________________________________________
Email address: ____________________________________ Phone number: ____________________________ Shipping address: _________________________________________________________________________
____________________________________________________________________________ Wedding date English: _______________________________ Wedding date Hebrew: ______________________ Day of the week: ____________________________________ Before sundown After sundown
Wedding location (city and state): _______________________________________________________________
Ketubah design:
Blooming Tree: Circle Oval
Backing Color:
_______________________________________
Your ketubah text will be giclee-printed using an ink color that complements your choice of backing color. Or, you may specify here a specific request for the color of your ketubah text.
_______________________________________
Special design requests: _______________________________________
Forest:
Garden:
Lilac:
Dragon Pomegranate Vine Dodi Li
Deer Dodi li Dodi li
Jerusalem
Woodland Floral
Floral
Circle
Dodi li
Oasis
Terrace
Other Design: _____________________
Text choices: Traditional Orthodox: Conservative Lieberman:
Egalitarian Reform:
Interfaith:
Other text: ___________________
_____English _____English _____English
_____English _____English
_____Hebrew _____Hebrew _____Hebrew
_____Hebrew _____Hebrew
Which signature lines and how many of each:
Labels for signature lines will be printed in both English and Hebrew unless you specify otherwise.
Special requests regarding language or placement of signature line labels:
Witness: Bride: Groom:
__________
__________
__________
Rabbi: Officiant: Other:
__________ __________ _________
___________________________________________ Would you like us to leave the “kuf” letter in the “V’kanina” word unfinished so that the Groom or Rabbi can
For orthodox or conservative texts:
finish the writing of the ketubah?
Would you like mothers’ Hebrew names on the ketubah? yes no
yes no
B__R_ID_E__/_P_A_R_T_N_E_R__O_N__E_I_N_F_O_
Bride’s English name (first, middle, last): _________________________________________________________
Bride’s Hebrew name: ____________________________________________________________________ For orthodox or conservative texts: Is bride ____divorced ____widow ____convert
Mother’s first name in English: _________________________________________________________________ Mother’s Hebrew name: _____________________________________________________________
Is mother living? ____yes ____no
Father’s first name in English: __________________________________________________________________ Father’s Hebrew name: ______________________________________________________________
Is father living? ____yes ____no
GROOM/PARTNER_INFO_
Groom’s English name (first, middle, last): _______________________________________________________
Groom’s Hebrew name: __________________________________________________________________
Mother’s first name in English: _________________________________________________________________ Mother’s Hebrew name: _____________________________________________________________
Is mother living? ____yes ____no
Father’s first name in English: __________________________________________________________________ Father’s Hebrew name: ______________________________________________________________
Is father living? ____yes ____no