Getting Real

Name*

First Last

Street Address*

Street Address City State ZIP Code

Phone Number*

Email Address*

Participant name as you'd like it to appear on nametag*

Personal pronouns

She / her
He / him
They / them

Are you a Hineni supporter or JCC member?*

Yes ($90)
No ($120)

Would you like to register a second participant?

Yes
No

2nd participant name as you'd like it to appear on nametag*

2nd participant's email*

2nd participant's personal pronouns

She / her
He / him
They / them

Is the 2nd participant a Hineni supporter or JCC member?*

Yes ($90)
No ($120)

Payment Information

Payment Method*

Pay by credit card (processed by PayPal; no PayPal account required)
Pay by check
Financial assistance (see below)

Participant 1 Cost

Price:

Participant 1 Cost

Price:

Participant 2 Cost

Price:

Participant 2 Cost

Price:

There are no financial barriers to participation in Hineni classes. If you would like to speak to someone about financial assistance, please select the last option above. Sara Lynn Newberger will be in contact with you soon.

Please make your check payable to "Talmud Torah of St. Paul" and mail it to the school office at:

Talmud Torah of St. Paul
Marjorie Smith Hofman Educational Building
768 Hamline Avenue South
St. Paul, MN 55116

Please note that upon submission, you will be taken to PayPal's website in order to enter your credit card information.

Would you like to add an amount to cover the credit card convenience fee?

Yes - let me add a 2.5% contribution

Additional contribution to cover the credit card convenience fee

Price: $0.00

Total

$0.00

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