The Israel Encounter is designed to support and strengthen your commitment and abilities to raise your children as Jews. If you are an interfaith couple (one partner is Jewish and the other is not), live in the greater Atlanta area, are married or engaged - with children ten years of age or younger, or planning to have children - you are eligible to apply.

Please complete Parts I and II of the following application as individuals, and Part III as a couple and then click SUBMIT. You may also Print this (Print application) and send your completed application by US Mail to: Israel Encounter, P.O. Box 88404, Dunwoody, GA 30356.

Space is limited to the first 15 couples who qualify.

Questions? call 404-512-0743.

First Name*:
Last Name*:
E-Mail Address*:
Phone*:

Address*:
City*:
State*:
Zip*:

Occupation*:
Religious Affiliation*:




First Name*:
Last Name*:
E-Mail Address*:
Phone*:

Address*:
City*:
State*:
Zip*:

Occupation*:
Religious Affiliation*:




Relationship*: Married Enagaged
If Engaged, Wedding Date:
How Many Children?*:
Ages of Children:
If Children, what religion are you raising your children:


If you do not have children, are you planning to have children? *: Yes No


If yes, have you and your partner decided what religion or spiritual path you will raise them in?:



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