50% of survey complete.

* 1. First Name

* 2. Last Name

* 3. Exact birth date, including day, month, and year.

4. Ethnicity (for demographic purposes)

* 5. Email Address

6. Phone Number

* 7. Street Address

* 8. City and State

* 9. Zip Code

10. Please indicate where you work as a Jewish educator.

11. Please help us decide what Summer classes to offer by describing what you would most like to learn at this point in time.

T