Ketubah Worksheet

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