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Temple Micah Youth Education Student Registration Form with Emergency Contact Information and Participation Waivers
2023-2024/ 5784 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 As a reminder: After your first year of participation, we require you become a member of the Temple Micah community to continue participation
This is a brit/contract with Temple Micah and I commit to full payment of tuition by December 31, 2023. 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: amy.krivel@micahdenver.org.