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Jewish Activism Weekend Registration Form
Thank you for your interest in the Jewish Activism Weekend. Please fill out the form below to register. Once you have registered, make sure to look out for our confirmation e-mail with more information.
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First Name
*
Your answer
Family Name
*
Your answer
Postal Address
*
Your answer
E-Mail Address
*
Your answer
Citizenship
*
Your answer
I will attend:
The entire weekend of the Jewish Activism Fair
Individual sessions on Friday
Individual sessions on Saturday
Individual sessions on Sunday
Clear selection
Are you a member of your local Jewish community?
Your answer
How did you hear about the event?
*
JASS Website
Facebook
A friend
Other:
May we add you to our mailing list?
Yes
No
Clear selection
Are you a student? If so, where?
Your answer
In what Jewish activities do you engage, if any?
Your answer
Are you interested in the following activities for early morning sessions (7:30 AM):
Prayers
Yoga
Meditation
Other:
Please tell us about yourself (500 word maximum).
*
Your answer
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