Clergy: Request a Conversion Immersion

"Your very warm and efficient manner made Lori's conversion a meaningful experience for all of us. As a rabbi I don't take it for granted that I will have the kind of respectful, dedicated, mikveh assistance that I receive at Mayyim Hayyim." - Rabbi Judy Epstein

Please fill out the form below to request an appointment for a conversion.

When requesting consecutive appointments on the same day, Mayyim Hayyim strongly suggests a minimum of 45 minutes for conversions without a Beit Din, and a minimum of 1 hour and 15 minutes for a conversion with a Beit Din.

You will receive a response within one business day.

* Candidate's name:
Parent(s) name(s) if child:
* Candidate's phone number:
* Candidate's email address:
* Gender:
* Approximate age of candidate:
* Sponsoring clergy's name:
Clergy's email address:
Clergy's daytime phone number:
Synagogue name and town:
Movement affiliation:

Please enter the candidate's desired date(s) and time(s) for this immersion: (Follow this link to view our hours of operation in another window.)


Will you hold a beit din meeting here immediately prior to the immersion?
	*

How can our Mikveh Guide best support you while you are here at Mayyim Hayyim?


If friends or family members will be here to celebrate, please list the
approximate number of people:

Will you be using an immersion gift certificate to cover the suggested donation ($90)?
	Yes No

Would he/she like to reserve our celebration room? ($100 per hour)
	Yes No