Mi Shebeirach List

Request Addition to Mi Shebeirach List
Please use this form to submit any names you would liked to be added to the Mi Shebeirach list. Please read the instructions for each section carefully to ensure we get the proper information added for you.
Please provide the best email address to use to contact with questions about submission.
Middle Name is Optional.
Please select how long you would like the name to remain on the list. Please use the "Indefinitely" option when required for an extended illness. In that case, please notify submissions@kolami-tx.org to have the name removed when appropriate.