School Leaders Registration

Please complete the following form to register for the 2018-19 School Leaders Forum with the Lola Stein Institute. The cost of the forum is $360 per registrant. Single session registration is not available. Subsidized rate is available upon request. After you submit your registration we will send you an invoice with payment instructions.

Registration for the 2018-19 School Leaders Forum

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Affiliated School / Synagogue *

Volunteer Role at School / Synagogue (if applicable) *

Would you be willing to host one of the sessions at your site? *

Yes No Maybe

Submit