Jewish Prison Chaplains Conference - Registration Form

The Aleph Institute founded its Regional Jewish Prison Chaplains Conference in 2009 to provide a hands-on training environment for the volunteers and chaplains who provide services to Jewish inmates, their families, and those in the process of re-entry to society. The Aleph Institute values the unique and distinctive contributions of each and every person who seeks to help, counsel, support, and work with the special population entrusted by the community to The Aleph Institute’s care.

Name:*

First Name Middle Name Last Name

Institution Name:

FCPD Contact: (Head Chaplain)

Address:

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*

E-mail:*

Status (at prison):*

If not employed by institution listed above, what organization do you represent?

What days will you be attending?*

First Day (May 11)Second Day (May 12)Symposium (May 11, 7-9 PM)

What accommodations do you require?*

Optional donation:

Payment

Credit Card Check, Cash or NO PAYMENT REQUIRED

Postal / Zip Code

Country

Comments:

Thank you for registering. We look forward to seeing you there!

Chaplains Conference Registration

Registration Form

Jewish Chaplains Conference 5785 / 2025 Registration