Sign Up Form

Name

First NameLast Name

Pronouns (optional)

Email

example@example.com

Tell us a bit about yourself - what drew you to this cohort and what do you hope to learn or develop through participating?

Do you have any experience gardening, farming, or with herbalism? Do you have anything specific you want to learn, develop, or share with others in this area?

What is your relationship to Judaism and Yiddish? What do you hope to learn, share, or develop in this area?

My Yiddish knowledge is

I am able to make the following dates

The cost for us to run the sessions are $50 per person per session, which is already subsidized by other fundraising we have done, but we are offering it sliding scale/by donation for greatest possible accessibility. If you are someone who can afford more, please consider adding more to your ticket price to support scholarships to folks with less money. If money is not an option for you and there is another offering you'd like to make to this program please let us know. A shaynem dank!

Payment

CADPlease enter your payment amount

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Instead of, or to supplement payment, I'm able to provide an offering to support the Kolektiv, such as something for a silent auction

Do you have any accessibility needs?

Do you have any allergies or dietary restrictions?

Do you know what dish you'll bring to the potluck? Will you be bringing any friends/loved ones?

Do you have any questions or comments for us?