Project Bet-A: Reimagining Jewish Education for the Next Generation

Form Name
Memo
Notes to internal Federation professionals
Your Information
Name*

First NameLast Name
Email*

Confirmation EmailConfirm email address
Mobile Phone*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Synagogue / Organization Name*
Your Role at the Synagogue / Organization*
How did you hear about this program?

Email invitationWord of mouthCongregational Connection NewsletterOther

Registrant Information

Federation is pleased to offer a highly subsidize rate of $180 per year for first educational leader, and $120 per year per educator for up to two additional professional partners per institution.
How many educators are you registering today?

1 Registrant at $1802 Registrants at $120 each, $240 total3 Registrants at $120 each, $360 total
Will you be participating in Project Bet-A: Reimagining Jewish Education for the Next Generation?

YesNo, I am registering on behalf of my colleague(s)
Registrant #1 Name*

First Name Last Name
Email*
Confirm email address
Registrant #2 Name*

First Name Last Name
Email*
Confirm email address
Registrant #3 Name*

First Name Last Name
Email*
Confirm email address

Appeal Code
Final Amount
CC fee
Total (Amount + CC fee)
paymentData
I understand that pictures may be taken during this program and may appear on various channels, including social media and the Federation website.
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Your Information