Keshet Online Art Circle
Thanks for joining the Keshet Online Art Circle! This is for LGBTQ Jews ages 14-24. Upon registration, you'll receive the info for the Zoom call in advance of the next meeting.

Please note that, by submitting this form, you are agreeing to be contacted by Keshet staff and the volunteers running the Online Art Circle.

For any questions, please email Amram Altzman, Youth Programs Manager at Keshet, at youth@keshetonline.org.
Sign in to Google to save your progress. Learn more
Email *
What is your name? *
Please include your first and last name!
Is there another name we should use when contacting you?
If you'd rather we use a different name (such as legal/given name, or something else!) when emailing you, please write that here. If not, please write 'N/A'
What is your zip code? *
What is your phone number?
What are your pronouns? *
What is your birthday? *
Please note that this program is only open to LGBTQ Jews ages 14-24. If you are over age 24, please email youth@keshetonline.org and we can connect and find ways to connect you with LGBTQ community local to you!
MM
/
DD
/
YYYY
Should we follow any special instructions for contacting you?
Do you need arts supplies? *
We don't want funds or access to arts supplies to be a barrier for you to participate! You will not need any special arts supplies to participate, but Keshet has limited funds available to send you arts supplies on an as-needed basis. We can send you some art supplies from Keshet, with the expectation that you will participate in at least three of the next five arts circle meetings.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Keshet. Report Abuse
Google Forms