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 ( An application form is located online at

Email address *
Student 1 Information
Please enter all information for student 1
Student 1 Name (first and last) *
Your answer
Gender *
Grade in Sept. 2019 *
School *
Your answer
Birthdate *
Student cell phone *
Your answer
Student Email Adress *
Your answer
Student 1 Dietary needs (check all that apply)
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service