Nourish and Nurture Registration 2023-2024

Register for Nourish and Nurture

Please fill in the form below. We will be in touch soon to confirm your registration and finalize payment if necessary. We look forward to learning with you!
Adult 1: Name*

First NameLast Name
Preferred Gender Pronouns
Adult 1: Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Adult 1: Phone*

Area CodePhone Number
Adult 1: E-mail*
Adult 2: Name

First NameLast Name
Preferred Gender Pronouns
Adult 2: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Adult 2: Phone

Area CodePhone Number
Adult 2: E-mail
example@example.com
Child 1: Name*

First NameLast Name
Preferred Gender Pronouns
Child 1: Date of Birth*

MonthDayYear
Child 1: Age*
Child 1: Do you plan to bring your child with you to group sessions?*

YesSometimesNoNot sureOther
Child 2: Name

First NameLast Name
Preferred Gender Pronouns
Child 2: Date of Birth

MonthDayYear
Child 2: Age
Child 2: Do you plan to bring your child with you to group sessions?

YesSometimesNoNot sureOther
Child 3: Name

First NameLast Name
Preferred Gender Pronouns
Child 3: Date of Birth

MonthDayYear
Child 3: Age
Child 3: Do you plan to bring your child with you to group sessions?

YesSometimesNoNot sureOther
Are there particular topics or issues you would like to explore in Nourish and Nurture?
Are you open to hosting the group in your home? We need enough space for 12-16 adults to sit in one area, and another space in which a smaller number of young children can hang out. Your home does not need to be big, carefully decorated, or super clean. We're parents and we understand!
If you are open to hosting, please tell us if you have any pets, since some participants may have allergies.
Do any of your family members who will participate have allergies, such as to cats or dogs, that we should be aware of in choosing where we will meet?
If relevant, please tell us about any food allergies your family members who will participate have.
Is there anything else you'd like us to know about you or your family?
Questions: Rabbi Stephanie welcomes your email or your call at 510-859-7866.
Fees

The program fee is $380

We charge $300 per family for 9 sessions. Additionally, each family is required to pay an $80 childcare assistance fee. This helps cover the shared costs of childcare and totals $9 for 1.5 hours of childcare at each session.

Your registration will be complete once we receive a non-refundable deposit of $50 or the full tuition payment.

You may divide your payment into installments or pay in full when you register.

Pay online here

OR

Send a check to Jewish Gateways, 1164 Solano Ave. #147, Albany, CA 94706.
Should be Empty:

Register for Nourish and Nurture