Please enable JavaScript in your browser to complete this form.Course Type *Adult ClassMinor ClassStudent InformationName *FirstLastStudent Email *Student Grade *1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeAdult Student / Parent InformationName *FirstLastEmail *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCourse Name *Available Items *5 Sessions Course - $ 65.0013 Sessions Course - $ 170.0026 Sessions Course - $ 340.00Total Amount$ 0.00Payment Information *CardName on CardWaiverI hereby acknowledge that IAC events may be photographed and authorize Israeli-American Council (IAC) to use such footage for marketing purposes. If you are participating in an ongoing IAC courses or programs such as Eitanim, Gvanim, Ofek, Mishelanu, Keshet or any other class and you do not wish to be photographed please contact the instructor.Full Name *Date *Submit
