Conscious Dating – For Single Men

Your Registration Info

First Name *

Last Name *

Email Address *

Phone *

Course Tuition

Options (USD)

I'll Pay the Full Price for the Course - $ 250.00

I'll take the discount for piloting the course - $ 125.00

I'm not financially stable and can only pay this much:

Optional Donation to Help a Needy Chosson/Kallah

Total

About You

How much dating experience do you have? *

None I've dated 1-5 people I've dated 6-10 people I've dated 10-20 people I've dated 20+ people

What's your Jewish community background? (For example, "Lubavitch", "Litvish", etc.) *

Why do you want to take this course?