Ta Sh'ma Open House 2022 Registration

Name*

First Last

Preferred Gender Pronouns

Email*

Phone*

Desired track*

Which Open House do you with to attend?*

Address and Emergency Contact Info

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of emergency contact*

Relationship to you*

Emergency contact phone*

How did you hear about Ta Sh'ma?

Do you need housing on Sunday, November 13th and/or Monday, November 14th?*

Please indicate if you have any pet allergies or special needs.

Will you be staying to visit classes on Tuesday, Nov. 15?*

Hebrew College has modest $75 travel stipends for anyone who incurs travel expenses over $150. Are you interested in a travel stipend?

If you keep some form of kashrut, please describe your practice so that we can make your stay as comfortable as possible.

Please let us know if you have any food allergies or eating restrictions.

Diets: Please indicate if you have any of the following diets. Please check all that apply.