Date of Birth
At what email address would you like to be contacted?
What Phone Number would you like to receive your Touching The Heart Messages?
What is your life phase?
High School StudentHigher Education StudentYoung ProfessionalParent
What is the name of your school or organization?
What is your gender?
FemaleMaleNon-BinaryPrefer not to sayOther (please specify)
What is your race or ethnicity?
AsianBlack or African AmericanHispanic or LatinoMiddle Eastern or North AfricanMultiracial or MultiethnicNative American or Alaska NativeNative Hawaiian or other Pacific IslanderWhiteAnother race or ethnicity, please describe below
The Goal of Touching the Heart is to support you in navigating the challenges of your life. By enrolling in this program, you are giving us permission to connect with you via text and send you messages to say hello as well as sending tips for stress reduction and resilience.
By signing up for Touching the Heart you are giving us permission to contact you via a text messaging services.
You have the option to opt out of the program at any time by texting STOP to any message received from the Touching the Heart program.
We want you to know that we take your privacy very seriously and we will not disclose your data to any third party for any purpose. Data collected is only used for the purposes of Touching the Heart and communication from Jewish Family Service.
The Touching the Heart program is designed to a support to you but is not intended to manage a crisis situation. We recommend that if you are ever experiencing what you feel is a life-threatening emergency, that you first call 911 or the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).
Thank you so much for becoming part of the Touching the Heart family. If you have any questions about the program, please reach out to us for more information.
I agree to the Terms of ParticipationI do not agree to the Terms of Participation