Sense and Sensitivity Philadelphia 2023 - Director form

Sense and Sensitivity Philadelphia

Sunday, October 29

9:15 AM – 3:45 PM

Young Israel of Elkins Park

SIGN UP FORM

Your name(Required)

First Last

Your email(Required)

Your Phone Number(Required)

Your address(Required)

Street Address Address Line 2 City State ZIP Code

Your position/ title(Required)

Number of years in your current position(Required)

Previous mikvah experience

Name of Mikvah

Position/title

Number of years in this position

Mikvah information

Name of mikvah(Required)

Mikvah address(Required)

Street Address City State ZIP Code

Average number of women per night(Required)

Estimated number of families in the community(Required)

Number of mikvah pools(Required)

Number of prep rooms(Required)

Have your attendants received training within the past 4 years? If yes, please describe the training and the host organization if applicable.(Required)

Our workshop facilitators will be using real-life scenarios as examples. If you have a personal anecdote pertaining to a challenging circumstance encountered within the Mikvah context, please share it below. This may include situations that you effectively managed or areas in which you identify opportunities for enhancement. In order to safeguard confidentiality, we kindly request that any identifying details be omitted.

Additional Comments

Registration and Payment

Thank you for sponsoring your attendants. To reserve their space, each attendant must complete her own registration form at https://ouwomen.org/mikvahpa/

Number of staff attending (including myself)(Required)

Cost (please select one)

1-5 total attendees: $150

6-9 total attendees: $300

10+ attendees: $500

Total

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