Register for Urban Shtetl Program 2016-2017

Fields marked with an * are required

Forming Havurah/Tribes

In order to establish the different Tribes of our Shtetl (Groups of 4-6 Families) please tell us

which is most important to you in forming your havurah group?

(check boxes)

Parent Support Groups

To help form these groups please indicate which you would be most interested in attending. Depending on the number of those interested we will form the groups accordingly

(check boxes next to each)

Interests

What is your family most interested in.  Check all that apply:

Payment (for entire family):

*Register by Oct 31 and save $100
Before November 1:
Program Fee by Oct. 31 : $400 or 8 monthly payments of $50

I pledge to pay:

Please call the office to set up full and monthly payments. 510-704-9687.

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