Event Registration

First Name: Last Name: Pronouns Will you attend in person, or over Zoom? In person Zoom Number of Attendees (if only registering for yourself, put 1): If you're registering for more than yourself, please provide those names. Age of the person submitting this form: Do you require any accessibility accommodations? (Interpreter, wheelchair access, etc.) If you have any additional comments or access requests, please reach out to badelberg@hebrewseminary.org. Referral: How did you hear about this program? (Check all that apply) If you indicated "other," please specify below. Kaddish memorial service: Please add any names of individuals you would like for our Kaddish memorial prayer service.