Mi Shebeirach Submission Form

In our community, we know that there are those recovering from illness or accidents, and we pray that "the One who blessed" (the meaning of Mi Shebeirach) our ancestors bring about complete healing. During our Shabbat services, our clergy and service leaders read the names of our community members and their loved ones in need of healing. We also offer the opportunity for anyone present to share additional names at that time.

Please make a separate submission for each person to be added to the list.
If you need further assistance, please contact the TKE office at 770-973-3533. Thank you.

* Name of member submitting this form

* Your Email address

* Your Phone Number for Contact

* What is the name of the person who is ill?

If known, what is the Hebrew name of the person who is ill?

If known, what is the Hebrew first name of the father and/or mother of the person who is ill?

* Relationship of ill person to you:

* How long would you like this name on our Mi Shebeirach list?

Would you like the TKE clergy to contact you?

Would you like the TKE Caring Committee to contact you?

Is there any information you would like us to know?

For friends and family with a chronic, long-term illness, please call or email the office to speak with a member of the staff or clergy so we can ensure that you/they receive the needed support.

Fri, May 2 2025
4 Iyar 5785

Fri, May 2 2025 4 Iyar 5785

Mi Shebeirach Submission Form

Temple Kol Emeth

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