Chinuch Lifelines Programs Sign-up Form

Chinuch Lifelines Programs Sign-up Form

Please enter your details below to sign up for any Chinuch Lifelines program. Upon successful submission of this form, you will receive an email from us with information to join the workshop of choice.
Name

First Name Last Name
Email

Confirmation Email example@example.com
Phone Number
How did you hear about this program?
Click here for Terms and Conditions

Please note there is a 3-month commitment when signing up for any workshop.
Do you agree to our Terms and Conditions?

Yes

Which program would you like to join?

Coaching You Through workshop($37.00 for each month)

Mondays at 9pm IL / 2pm EST

Mothers of Teenagers workshop($37.00 for each month)

Tuesdays at 9pm IL /2pm EST

Growing in Emunah workshop($37.00 for each month)

Wednesdays at 9pm IL / 2pm EST

Fathers Mini-Workshop + Q&A($37.00 for each month)

Thursdays at 9:45pm IL / 2:45pm EST

Ask Rabbi Brezak($37.00 for each month)

1. Q&A - Thursdays at 9pm IL / 2pm EST. 2. Submit two questions per month to Rabbi Brezak via online submission form.