To preregister for a brit, complete the form below and click the send button. Cantor Kushner will contact you within a week to answer questions and address individual concerns. If you do not hear from him, it is possible that this form was not received, so please call him at 800-559-BRIS.
When your son is born, use the 800 number to contact Cantor Kushner and schedule the brit.
Home phone: Cell:
Having a boy?:
Home nurse's name:
Do you want CantorK to contact you?:
Receipt for medical insurance reimbursement available upon request.