Summer 2014 Gratz College Adult Jewish Learning Registration Form
Please complete the form below in order to register for the Gratz Scholars Program, Hebrew Program, Yiddish Program, and Interfaith Family Workshop.  Online registration only accepts credit card payments.  Thank you.
Sign in to Google to save your progress. Learn more
Today's Date: *
MM
/
DD
/
YYYY
I am registering for the: *
First Name: *
Last Name: *
Street Address: *
City: *
State: *
Zip Code: *
Home Phone Number *
Cell Phone Number
Email *
Birthdate: *
MM
/
DD
/
YYYY
Ethnicity: *
Have you ever taken an adult education course at Gratz? If yes, please which program? *
Required
Are you currently teaching in a supplementary religious school?  If so where?
Synagogue (if applicable):
Pre-Registration & Payment are required for all courses.
Scholars Course Selection
All Summer Scholars courses are 4 consecutive days, Monday through Thursday, 10am-12pm.  Please select all desired courses. Course Fee is $125 / 4 day course.
Interfaith Family Workshop
Interfaith Family Workshops are 4 consecutive days, Monday through Thursday, 1:30pm-3:00pm.  Please select all desired courses. Course Fee is $125 / 4 day course.
Hebrew Ulpan Course Selection
Please contact Mira Korn (mkorn@gratz.edu) for Hebrew level placement.  Summer Hebrew Ulpan sessions are either once a week, for 6 weeks (Tuition: $150.00), or twice a week for 6 weeks (Tuition: $300.00)
Yiddish Course Selection
Please contact Rita Ratson (rratson@gratz.edu) for Yiddish level placement if needed.  All classes 8 weeks - $160
Total Tuition: *
Registration/Refund Policy
For all Scholars classes, full tuition payment is due upon registration. If a cancellation is received before the course begins, 100% of tuition will be refunded.
Total Tuition: *
Credit Card Type: *
Name on Card: *
Card#: *
Please enter numbers only.
Expiration Date: *
Security Code#: *
I am registering for the: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Gratz College. Report Abuse