Interfaith Institute Registration
Registration fees for 2022 cover the cost of the program as well as room and board at Wildacres for 3 nights, including 8 kosher meals. Cost of registration is $375 per person before June 15, 2022. After June 15, 2022 the cost will increase to $400. A limited amount of scholarship assistance may be available.
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First Name *
Last Name *
Email Address *
Home Address *
City *
State *
Zip Code *
Cell Number *
xxx-xxx-xxxx
Position *
Religious Denomination *
Dietary Choices *
*all food will be Kosher
Housing *
Enter "Solo Traveler" OR enter the person's name below whom a room will be shared.
Housing Special Requests *
Ex. Same room as 2019, Handicapped Accessible, Building Preference etc.  
Additional donation towards Scholarship Fund *
Required
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