Event Registration

Event Registration Form

Thank you for registering to attend a Jconnect event. To create a room with the most potential for compatibility, many of our events are small and intimate. Our experts will curate an invitation list based on the overall mix of people who register. We will be in touch soon!

Event*
Name*
First Last
DOB*
DD slash MM slash YYYY
Gender*
Are you Jewish?*
Email*
Phone*
Suburb*
State*
How did you hear about this event?*
That's great! Can you tell us more?!
What's your social media handle?
Know a Jewish mate, housemate, relative or co-worker who is single and may be keen to come to a Jconnect event? Do them a favour and put down their name and email so we can invite them.
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Food
Allergy Questions
Food Allergies (Multiselect with CNTL key and click)
Other Allergies

Please enter allergies
Please note that sometimes we need to get to know you a little better. One of our expert connectors may be in touch in order to ask a few more questions.
Name
This field is for validation purposes and should be left unchanged.

Event Registration

Event Registration Form

Food

Please note that sometimes we need to get to know you a little better. One of our expert connectors may be in touch in order to ask a few more questions.

Dedicated to the memory of Simon Stein OAM OBM

In memory of Edith Godlewicz our loved and respected friend and colleague

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