Mekorot Registration | The Lookstein Center

Full Name(Required)

First Last

Email(Required)

Please check below indicating that you agree to the following:

headshot/bio

I grant permission to The Lookstein Center to share my headshot and bio on social media and in promotional material.

Photos/zoom

I grant permission to the Lookstein Center to share my photograph from Zoom sessions and the Israel trip on social media and in promotional material.

Terms(Required)

I have read the program information and agree with the program terms outlined therein.

Terms(Required)

I agree to participate to the best of my ability in the Sunday morning Zoom sessions, in individual and group coaching sessions, to complete the asynchronous coursework, and to attend the Israel semester from June 27 - July 15, 2027.

Terms(Required)

I understand that I am responsible for paying a non-refundable $150 application fee, a non-refundable $850 program fee, and the remainder of the cost of a round trip ticket to Israel after the 3500 NIS contribution from The Lookstein Center.

Please indicate here who is remitting the payment:(Required)

Registration Fee

Name of billing contact(Required)

First Last

Phone of billing contact(Required)

Email of billing contact(Required)

Total

Submit your payment*(Required)

I am not able to process the $150 registration fee before July 24th due to extenuating circumstances as outlined below:(Required)

Payment Method(Required)

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name