Mikvah Request

* First Name

* Last Name

* Phone Number

* Email

Date and Time you need the Mikvah

Are you requesting a UOS attendant

No I have my own attendantYes

Mikvah Preperations

I will prepare at homeI will prepare at the Mikvah

Is there anything that you would like your Mikvah attendant to know ahead of time

* Have you used the UOS Community Mikvah before? If not, what is your connection to UOS Community Mikvah?

Mikvah Payment: Please click on the drop-down and choose one of the Mikvah options

Amount

Total

Tue, September 17 2024 14 Elul 5784