Senior Educators Registration

Please complete the following form to register for the 2019-20 Senior Educators Study Forum with the Lola Stein Institute and the Shalom Hartman Institute. The cost of the forum is $500 per registrant. Single session registration is not available. After you submit your registration we will send you an invoice with payment instructions.

Registration for the 2019-20 Senior Educators Forum

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Affiliated School / Synagogue *

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

Yes No Maybe

How did you hear about the Study Forum? *

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