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Goodblatt Academy Registration Spring 2023
Register for Goodblatt Academy classes. Classes will be held via Zoom on Wednesday evenings from 7-8:30 p.m.  First class is on Wednesday, January 11, 2023

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Email *
First Name *
Last Name *
Phone Number *
Street Address *
City *
State *
Zip Code *
How did you hear about Goodblatt Academy?
How would you describe your religious background?
At this time, do you intend to convert to Judaism? *
If you intend to convert to Judaism, do you have a sponsoring Rabbi? Please share the Rabbi's name and synagogue name *
Are you engaged in any way with a synagogue community?
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If you answered "Yes" to the previous question, with which synagogue community are you engaged?
If you responded NO to the previous question, please let us know if we can be helpful by connecting you to a local synagogue.  Goodblatt students are always welcome at the local synagogues. *
Your Jewish partner is welcome to attend classes with you. Are you applying to participate as an individual or as a couple? (TUITION COST: $550 for individual; $650 for couple) *
If your Jewish partner will be attending class with you, what is your partner's email? *
Intro to Judaism class has a book requirement,-"On One Foot" -the book is interactive and is used weekly. How would you like to receive the book? *
PHOTO RELEASE: I agree that Goodblatt Academy may use photographs of me with or without my name, and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising and online content. *
A copy of your responses will be emailed to the address you provided.
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