Thursday, March 12th

7:00pm

Mercer Island

Address Provided Upon RSVP

Large bags, purses, and backpacks are not allowed inside. All bags are subject to search.

Number of Attendees

How many people in your household are planning on attending this event?

First Registrant Information

Title

First Name

Last Name

Suffix

Other Title:

Email of First Registrant

Mobile:

Second Registrant Information

Title

First Name

Last Name

Suffix

Other Title:

Email of Second Registrant

Mobile:

Third Registrant Information

Title

First Name

Last Name

Suffix

Other Title:

Email of Third Registrant

Mobile:

Fourth Registrant Information

Title

First Name

Last Name

Suffix

Other Title:

Email of Fourth Registrant

Mobile:

Fifth Registrant Information

Title

First Name

Last Name

Suffix

Other Title:

Email of Fifth Registrant

Mobile:

Sixth Registrant Information

Title

First Name

Last Name

Suffix

Other Title:

Email of Sixth Registrant

Mobile:

Mailing Address

Country

Provinces

City

Ontario - City

State

State/Province

Canadian Postal Code

Postal Code

US Postal Code

Accessibility Needs

Do you have any accessibility needs?

Yes (Please specify)No

Please specify:

The Shalom Hartman Institute would like to stay in touch with you to let you know about future events and programs that might interest you. We will never sell or give your information to any other institution.

I would like to receive Shalom Hartman Institute emails.

Shalom Hartman Institute Privacy Policy

I have read the Shalom Hartman Institute Privacy Policy

Salesforce IDs for participation records

The following sections are not visible to the user filling out the form. Please insert the proper object id from Salesforce into the fields below as DEFAULT values. The object ID can be found in the URL of the salesforce entry. See the following example, the object ID is in bold.

https://hartman.lightning.force.com/lightning/r/Program_Tier_1__c/a0T7R00000aTEjiUAG/view

That string of characters needs to be added as a default value. To do so, click on the field you want to fill. Then click on the "options" button, and then enter the value into the "default values tab." See the image below for a tutorial.

Also note that you do not need to delete any fields below. For example, If you only want to create a participation for 4 classes, you can just leave the others blank.

Program ID - Insert Program ID here as DEFAULT VALUE

Seminar ID - Insert Seminar ID here as DEFAULT VALUE

Class IDs - Insert Class #IDs here as DEFAULT VALUES

Campaign ID - Insert Campaign Seminar ID here as DEFAULT VALUE

Campaign IDs - Insert Campaign Class #IDs here as DEFAULT VALUES

Geographic Region Fields - DO NOT EDIT

US Geographic Region