Reset and Refresh: Young Family Edition Application 2026

Reset & Refresh: Young Family Edition Application

Thank you for your interest in the Reset & Refresh: Young Family cohort. Spots are filling up fast! If you have any questions, please contact Rachel Nelson (rachel@jewishportland.org or 503-892-7415).
Partner A Name

First NameLast Name
Preferred Pronouns

He/Him/HisShe/Her/HersThey/Them/TheirsOther
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.
Preferred way to reach you
Partner B Name

First NameLast Name
Preferred Pronouns

He/Him/HisShe/Her/HersThey/Them/TheirsOther
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.
Preferred way to reach you
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child Name

First NameLast Name
Birthdate

MonthDayYear
Date
Child Name

First NameLast Name
Birthdate

MonthDayYear
Date

Motivation
In 150 words or less, please share what is motivating you to participate as a family in Reset & Refresh. What do you hope to gain from the experience?

Eligibility Confirmation

We are excited to build an intentional community. Please confirm you meet each of the Reset & Refresh criteria:
At least one partner self identifies as JewishRelationship duration of more than one yearIntend to be local to Greater Portland during the duration of the programHave children 0-5ishAre between the age range of 28 and 45Are interested in meeting other families of mixed-heritageFeel curious about the role of culture and tradition in your lifeAre open to sharing parts of your lived experience with othersAre committed to showing up and participating
There is a suggested donation of $180 per family to defray programming costs. If this is a barrier, please be in touch with Rachel (rachel@jewishportland.org)

Anything else you want to share?
Please share any questions, hopes for the program, or other things that might support you in Resetting & Refreshing together
Should be Empty:

Reset & Refresh: Young Family Edition Application