Mikvah Membership Appointments

Welcome to our online mikvah appointment system!

For any questions please call Dena Levin at 650-302-0072

Contribution Amount

Mikvah Member Appointment - $ 0.00

Other Amount

Other Amount $

Total Amount

Your Info

First Name *

Last Name *

Email *

Phone *

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Mikvah Experience Details

Select the day and time you'd like your mikvah appointment to be! (All appointment times are confirmed via phone call. Without this confirmation, your appointment isn't set.)

Requested Appointment Time *

First time mikvah user? *

Yes No

Prep Room: *

Home Prep (15 Min.) Shower Room (30 Min.) Full Prep Room (1 Hr.)

Have you been exposed to anyone who tested positive for the Covid-19 virus in the past 14 days? *

Yes No

Comments

For any questions please call Dena Levin at 650-302-0072.

Chabad of Palo Alto