Nosh & Drash Registration 2019-2020
A deposit of $100 per student is due upon completion of this form. Nosh & Drash students will all participate in an amazing Social Justice and Advocacy program throughout the year, which includes three field trips (two during the time of N&D, one on a Sunday afternoon).

Total tuition due is $400/yr for members of a Conservative congregation, and $475/year for others.

Scholarship forms must be returned to Carma Gargaro at Adat Shalom Synagogue (cgargaro@adatshalom.org). An application form is located online at http://bit.ly/scholarshipASBA19

Email address *
Student 1 Information
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Student 1 Name (first and last) *
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Gender *
Grade in Sept. 2019 *
School *
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Birthdate *
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Student cell phone *
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Student Email Adress *
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Student 1 Dietary needs (check all that apply)
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