Well Circle Interest Form
Interested in learning more about the Hebrew calendar, and the ancient ritual of
Rosh Chodesh
? Want to gather with other HMI women to connect each month? Or just curious to tap into some Jewish wisdom?
Let us know below! A staff person from Honeymoon Israel or
At The Well
will be in touch to share more about starting and/or being part of a well circle in your community!
First Name
Last Name
Email Address
Please note, this email address will receive all communications related to this event.
Is there anything you’d like to share with us regarding your accessibility needs?
Are you planning to attend with your partner?
Please note Well Circles are meant for all who identify as women or non-binary
Yes
No
PARTNER
First Name
Last Name
Email Address
Is there anything you’d like to share with us regarding your partner's accessibility needs?
Your City
Would you be interested in taking a leadership role in starting a well circle? This could include hosting, recruiting other women from your cohort, or planning an activity for a gathering
Yes
No
Anything else you want to share?
SALESFORCE (ADMIN)
Campaign ID