The First Annual American Yarchei Kallah on Medicine and Halacha

Registration Form

Please print this form, complete it and send it with registration fees to
The Jerusalem Center of Research
23 Yona Street
POB 57058
Jerusalem, Israel 95502

1. Name
2. Address
3. Home phone
4. Business phone
5. Mobile phone
6. Email address
7. Fax number
8. Medical specialty
9. Level of learning:
I can learn from original (non-English) text yes
no
I can learn with chevruta yes
no
I require a tutor yes
no
10. I need help in finding lodging for the Yarchei Kallah yes
no
11. I require the following meals:
Meals can be purchased at cost.
Friday lunch
Friday evening
Shabbat Lunch
Seudah shlishit
Sunday lunch
12. Registration fees: Before 1 January, 2003 $400.00
From 1 January, 2003 $500.00
Confirmation of participation will be made upon receipt of registration fees.

For further information, please contact us at: Telefax:972-2-538-3558, Email: info@j-c-r.org