Goodblatt Academy Registration 2020-21
Register for Goodblatt Academy classes. All classes will be held via Zoom until further notice.
First Name *
Last Name *
Email address *
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?
Clear selection
Are you engaged in any way with a synagogue community?
Clear selection
If you answered "Yes" to the previous question, with which synagogue community are you engaged?
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 name?
If your Jewish partner will be attending class with you, what is your partner's email?
Which class do you wish to attend? *
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. *
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