Schedule an Immersion

Please use this form
for scheduling an immersion
for general contacts, please click here

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Reason for Immersion *

Please provide synagogue affiliation, if applicable: *

Please provide name of sponsoring clergy, if applicable: *

For some rituals, including conversion, a mikvah attendant as required by Jewish law: Shomereh (non-binary), Shomeret (female), Shomer (male). Please select the preferred gender of your witness: *

Please provide two or three possible dates and times *

For conversion immersion: Has your sponsoring Rabbi/Clergy approved the possible dates above? (otherwise we will need to double-check with them) *

Yes, they approve these dates No, they are yet to approve these dates Unsure

For a conversion immersion: What is your sponsoring Rabbi/Clergy's email? *

Any other comments: *

Submit

The Community Mikvah of the Conservative Movement
3220 Big Tree Lane, Wilmette, IL 60091
[email protected]
847.256.4699

Please use this formfor scheduling an immersion​for general contacts, please click here

Please use this form
for scheduling an immersion
for general contacts, please click here