This form can be used to request a name of a child to remember or to register a name that you have already received from your synagogue, clergy, educator or tutor.

For new requests, you will receive an email confirmation within one week of receipt.

There is no charge to participate. Voluntary donations sustain and continue B'nai Mitzvah: Acts of Memory. A suggested donation of $54 enables us to bring the opportunity to another child, and to continue our outreach to help build a culture of Jewish memory. Please click here to donate (under "Designation," please select "B'nai Mitzvah: Acts of Memory" from the drop-down menu).

For more information, please contact Elly Cohen, Project Administrator, at 415-265-9801 or