Registration : J-Inspire

PRELIMINARY APPLICATION FORM

Due to the extremely limited space available, and the very high demand, applications are being accepted and then reviewed for acceptance. Please be understanding and patient throughout this process. Please understand that acceptance to the body and soul retreat is highly reliant on our communities and the spots that they require.
For more information, feel free to turn to your project inspire community coordinator.
Thank you.

Personal Information

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip Code: *

Country: *

Cell Number: *

Email Address: *

Application Information

What is your Jewish affiliation? *

Have you ever been to a Body & Soul Retreat? *

Yes No

Have you gone on a Momentum trip? *

Yes No

Are you part of a Project Inspire Community? *

Yes No

How many people are you attending with? *

Please list all attendee names, and children's ages

Additional Information

Additional Comments:

Only enter this field if you were told to do so by a staff member.

Project Inspire's

PRELIMINARY APPLICATION FORM