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Jewniversity 2022 Payment Form

We are thrilled to welcome Jewniversity participants to campus this fall! The Jewniversity program fee is $180 per student, which covers the cost of meals, swag, and reservations.

Questions? Please contact Hannah Rosenberg, Engagement Director.

Student Information
*

First Name
Last Name
*

*

*

*

(Format: YYYY)
*
Parent Information
*

First Name
Last Name

First Name
Last Name
*

*

*

*

*

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
*
*

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Emergency Contact Information
*

First Name
Last Name
*

*

Additional Information
*
*

*

*
*
Payment
*
$