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2022-23 Youth Education Registration

Temple Micah Youth Education Student Registration Form
with Emergency Contact Information and Participation Waivers

2022-2023/ 5783

Director of Youth Education: Amy Krivel, amy.krivel@micahdenver.org
Senior Rabbi: Rabbi Adam Morris, rabbimo@micahdenver.org

Family Information

Emergency Procedural Information

Please list two local emergency contacts in the event that parent/guardian cannot be reached.

In case of a medical emergency, I authorize the staff of TMRS to obtain emergency medical treatment for my child as detailed above.


Student Information

PLEASE CONTACT TEMPLE MICAH DIRECTLY IF YOU HAVE MORE THAN 3 CHILDREN TO ENROLL!
amy.krivel@micahdenver.org


TEMPLE MICAH YOUTH EDUCATION

TUITION PAYMENT CONTRACT

Brit/Contract between Temple Micah and All Families participating in Youth Education

TUITION RATES:

Member = in good standing of Temple Micah  

Non-member = unaffiliated for first year of participation

Micah Minis (Grades Pre-K-1) $270/student member
$400/student non-member
Micah Minions (Grades 2-3) $450/student member
$740/student non-member
Micah Mensches (Grades 4-5) $860/student member
$1220/student non-member
B’nai Mitzvahs in 6th Grade $960/student member
$1220/student non-member
B’nai Mitzvahs in 7th Grade
 
$1220/student member
Mishpacha! $1600/family if members
$2600/family if non-members
Madrichim
 
$125/teen member
$265/teen member
Chai School Social $95/teen member
$220/teen non-member
Chai School Justice $360/teen member
$580/teen non-member

 

This is a brit/contract with Temple Micah and I commit to full payment of tuition.  I realize that if I am not able to complete this payment on time, I must seek assistance from the temple staff, otherwise my child(ren) may not be able to return until such payment is resolved.


RELEASE OF PHOTOGRAPHS FOR MINORS

I, parent or guardian, hereby grant permission to Temple Micah to take and use:  photographs and/or digital images of my child for use in news releases, promotional materials, Micah Facebook Page, internal emails, and other electronic communications.  I further agree that my child's name and identity may be revealed in descriptive text or commentary in connection with the image(s).

Thank you for registering for Temple Micah Religious School!  Please continue to the next page to make your payment.  Contact Temple Micah if you have any questions or need assistance.

Include your email address here: amy.krivel@micahdenver.org.
Sat, December 10 2022 16 Kislev 5783