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2023-2024 My Mitzvah Registration Form

                                      

TUITION
October 8, 2023 - May 19, 2024

Tuition: $3600 per student 
Sibling discount:  -$150
Combined ceremony discount:  -$150 (two children share a ceremony)
B’nai Havurah member discount: - $1800 (intended for those families who have been members in good standing for 1 year or more prior to the start of My Mitzvah)

Note: Non-BH members’ ceremonies are led by Mitzvah Mavens Risa and Hal Aqua.
BH Members’ B’nai Mitzvah ceremonies are led by Rabbi Katie Mizrahi.

We are very flexible about payment arrangements. You may pay all at once, or spread payments out over 10 months. We accept payments by check, e-check, Visa, MasterCard, and Discover.

If the full cost of tuition presents a hardship for you, please let us know. We may be able to offer a discount.

 

All financial arrangements are kept confidential.


STUDENT INFORMATION for Student 1

For instance, list allergies, medications, accommodations, learning challenges, and any dietary needs.
B'NAI MITZVAH DATE - STUDENT 1
Leave this blank if you have not yet confirmed a date.

STUDENT INFORMATION for Student 2

If you do not wish to register a 2nd student, please continue to the next section. 
For instance, list allergies, medications, accommodations, learning challenges, and any dietary needs.
B'NAI MITZVAH DATE - STUDENT 2

PARENT AND EMERGENCY INFORMATION

This is the email that this application will use to send to confirm receipt of this form.


PARENTAL RELEASES

Please review the following electronic releases and add your name with your acceptance.
By entering my name above, I hereby give permission to B’nai Havurah or its agent to hospitalize and/or secure proper treatment for my child(ren) as named in this release form in the event of an emergency.
By entering my name above, I authorize my child(ren) as named above to leave B’nai Havurah for field trips with adequate supervision and advanced notice.
By entering my name above, I grant permission to B’nai Havurah Denver Jewish Reconstructionist Congregation (“B’nai Havurah”) and its agents and employees the unrestricted right to reproduce the photographs and video images and sound recordings of my child(ren) for marketing purposes in print, social media, presentations, and on the B’nai Havurah website. Student names will not be used without a separate, signed release.  
For helpful information not included in this form, please CLICK HERE.
Sat, May 25 2024 17 Iyar 5784