Volunteer Registration at B'erot Bat Ayin

Volunteer Registration Form
Program runs from 9am until 4pm. It includes hands-on gardening, Torah classes and art projects.

Important: Please download & complete this form here and email it to us here, at info@berotbatayin.org

Pay the non-refundable $50 application fee here
Full Name*

First NameLast Name
Jewish Name (if different)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Cell Phone
E-mail*
Occupation
Birth Date

MonthDayYear
Hebrew Date of Birth
Were you born Jewish?*

YesNo
Was your mother born Jewish?*

YesNo
If no, please explain
For Shabbat/Holiday programs: List any food allergies or dietary preferences:
Click here to subscribe to our weekly E-magazine
Click here to join our WhatsApp Event Group, Admin post only.
Should be Empty: