Name of Congregation:
Congregation Zip/Postal Code:
Contact Person First Name:
Contact Person Last Name
Contact Person Email:
Contact Person Phone Number:
Day of Week for Va'ad:
Starting Date of Va'ad:
Name of Person Who Will Lead the Va'ad:
Phone Number of Person Who Will Lead the Va'ad:
Email of Person Who Will Lead the Va'ad:
Name of Rabbi Who Will Use Sermon Prompts:
Email of Rabbi Who Will Use Sermon Prompts:
Please indicate if you are interested in learning more about the Jewish Values for Children Mussar Curriculum.
If you pay by check, once you click send you can ignore and close the PayPal page. Your registration is submitted. If you pay by check send the amount due to The Mussar Institute, 6545 SW 133rd Drive, Pinecrest, FL 33156, along with the signed license agreement.
If you pay by PayPal (credit cards and electronic checks) once you click send you will be taken to the PayPal page to complete payment. If paying electronically please be sure to send the signed license agreement by email to Jeff@mussarinstitute.org.