My Mitzvah 2022 - 2023 - Form

REGISTRATION FORM FOR MY MITZVAH 2022-2023

Dear My Mitzvah Participants:

As I write this, we are in the midst of the season of B'nai Mitzvah celebrations of the members of our 2021-22 (inaugural) class, and I am bursting with pride for their growth and achievements. As our team plans the 2022-23 program, using all that we've learned this past year, I am looking forward to working with you and your child/children, and I know it's going to be a wonderful year.

--My Mitzvah Mavens, Risa and Hal Aqua

First Class: Sunday, September 18

We will meet the first and third Sundays of each month, beginning September 18, from 4:15-5:45 pm. Unless otherwise indicated, we will meet at B'nai Havurah, 6445 E. Ohio Ave. (near S. Monaco Pkwy and Leetsdale), Denver, CO 80224.

For helpful information, including supplies needed, please CLICK HERE.

If you have any questions or concerns, please contact Risa Aqua, risaaqua25@gmail.com,
303-883-4270.

IF YOU ARE HAVING TROUBLE WITH THIS FORM PLEASE CALL 303-388-4441 OR EMAIL office@bnaihavurah.org / exec@bnaihavurah.org.

My Mitzvah Tuition for September 2022 - May 2023

Tuition for one student for 2022/23 academic year: $2000
Sibling discount: -$150
Combined service discount: -$150
Classes and family gatherings only (no individual meetings; we don't prepare or run your service): $500

Payment arrangements are flexible. You may pay all at once, monthly, quarterly, or bi-monthly. Unless other arrangements are made, tuition is due in full prior to your student's B'nai Mitzvah. 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.

Please contact Executive Director, Becky Epstein, at exec@bnaihavurah.org or 303-388-4441 ex. 15 if you would like to discuss our tuition rates, schedule of payments, or financial concerns.

Included in Tuition:
The program is built around the Shira Classes and Mitzvah Labs, plus there are a number of additional programs that will enrich your child's and family's experience.

Membership to B'nai Havurah (if you choose to take advantage of it)
Shira Class (songs and prayers) on the first Sunday of each month, 4:15 - 5:45 pm.
Mitzvah Lab (Torah, responsibility, leadership, Jewish identity) on the third Sunday of each month, 4:15 - 5:45 pm (Dates of Shira Class and Mitzvah Lab are subject to change around holidays.)
Culminating B'nai Mitzvah celebration co-led by your child(ren) and either Rabbi Katie or our Mitzvah Mavens, Hal and Risa.
Individual Meetings with Educators and Lay Clergy
- 2-3 in-person meetings with student for study and planning of tikkun olam (service) project and D’var Torah speech or alternate presentation.
- 2 in-person meetings with family to plan and individualize the service/program and siddur/booklet.
- Additional check-ins as needed, including consulting for mitzvah project.
- Dress rehearsal .
Shabbat B'Yachad Six times per year - we'll join together (b'yachad) for a joyful, song-filled Shabbat service that will appeal to our community of all ages and backgrounds, with My Mitzvah students leading parts of the service.
My Mitzvah Family Havurah ("Bunch of Friends") Informal family gatherings around Shabbat, havdalah, or holidays, 3-4 times per year, dates and locations TBA
Year of Joy Activities (optional) Four times per year - Year of Joy gives us a chance to celebrate within a larger community through monthly programs marking a holiday, life cycle event, or tikkun olam (service) project. Friends and family are welcome.
Facility and Administrative Support
- At least one consultation with our Executive Director or Office Manager about facility and administrative needs.
- Coordination with vendors (photographer, caterer, etc).
- Use of tables, linen, chairs, service ware, and more.
- To better meet your needs, please complete our Facility and Administrative needs worksheet at least two months prior to your B'nai Mitzvah.
  Please click here to access the form.

Choosing a B'nai Mitzvah Date

Please submit your first, second, and third choices for date and time. Please submit your preferences by October 1, 2022, so we can match students and dates by the middle of October. If you are not thinking of having a ceremony of any kind, let's chat. (Risa Aqua risaaqua25@gmail.com, 303-883-4270)

Additional Fees

Tutoring

Depending on individual needs and interests, each student's family will arrange for a tutor at their expense. Fees may vary, but most are in the neighborhood of $35 per half-hour lesson. Tutoring is required if your student will be learning to read Hebrew, and/or will be reading or chanting Torah and/or Haftarah. Please click here for a list of recommended tutors.

Please check this box if you if you have questions about tuition, would like help scheduling tuition payments, or if you would like to discuss financial assistance for tuition.

Please check this box if you if you have questions about tuition, would like help scheduling tuition payments, or if you would like to discuss financial assistance for tuition.All financial arrangements are kept confidential. Becky Epstein will contact you.

Tuition Selection

* Please make your tuition selection(s) below:

Tuition for Student One: $2,000.Tuition for Student Two who is having a ceremony at a different time than Student One: $1,850.Tuition for Student Two who is having their B'nai Mitzvah with Student One: $1,700.Classes and famlly gatherings only: $500We are requesting financial assistance, which is pending: $0 due at this time.You can select two options if you are signing up multiple students.

STUDENT INFORMATION

* Student 1 First Name:

* Student 1 Last Name:

Student 1 Preferred Pronouns:

* Student 1 Email for Google Classroom

* Student 1 Grade (Fall 2022):

* Student 1 Date of Birth

Has Student 1 been vaccinated against Covid 19?

YesNo

If you indicated Student 1 has not been vaccinated, when do you plan to vaccinate him/her/them?

Please provide us below with any information about Student 1 that may be helpful to us as we work with your child.

For instance, list allergies, medications, accommodations, learning challenges, and any dietary needs.

B'NAI MITZVAH DATE - STUDENT 1

If you have confirmed a B'nai Mitzvah date with Risa Aqua, please enter the date, below:

Leave this blank if you have not yet confirmed a date.

If you haven't confirmed a date, please add below your 1st, 2nd, and 3rd B'nai Mitzvah date choices. If you are not sure and wish to meet with Risa Aqua, please include that below.

Would you like to register a 2nd Student?

Please make your selection.YesNoPlease skip this section and proceed to "PARENT AND EMERGENCY INFORMATION" if you are not registering a 2nd student.

Student 2 First Name:

Student 2 Last Name:

Student 2 Preferred Pronoun:

Student 2 Email for Google Classroom:

Student 2 Grade (Fall 2022):

Student 2 Date of Birth (MM/DD/YYYY):

Has Student 2 been vaccinated against Covid 19?

YesNo

If you indicated Student 2 has not been vaccinated, when do you plan to vaccinate him/her?

Please provide us with any information about Student 2 that may be helpful to us as we work with your child.

For instance, list allergies, medications, accommodations, learning challenges, and any dietary needs.

B'NAI MITZVAH DATE - STUDENT 2

If you have confirmed a B'nai Mitzvah date with Risa Aqua, please enter the date, below:

If you haven't confirmed a date, please add below your 1st, 2nd, and 3rd B'nai Mitzvah date choices. If you are not sure and wish to meet with Risa Aqua, please include that below.

PARENT AND EMERGENCY INFORMATION

Please make one selection, below.

My information has not changed since last year (skip this section).My information has changed since last year. See my changes below.I am a new parent. (Please complete the form below.)

First Name Parent 1:

Last Name Parent 1:

Parent 1 Phone Number:

Email Address:

Street Address:

City:

ZIP:

First Name Parent 2:

Last Name Parent 2:

Parent 2 Phone Number:

Parent 2 Email Address:

Parent 2 Street Address (if different than above):

Parent 2 City:

Parent 2 ZIP:

First and Last Name of Emergency Contact

Emergency Contact Relationship to Child(ren):

Emergency Contact Phone Number:

Total tuition cost:

PARENTAL RELEASES

Please review the following electronic releases and add your name with your acceptance.

Emergency Release:

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.

Field Trip Release:

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.

Photo/Video Release:

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.

Thank you for your registration to our 2022-2023 My Mitzvah Program.

We're glad that your child(ren) and you will be joining us for My Mitzvah!

After you click on "Submit" below, you will receive a registration confirmation. Also a B'nai Havurah staff member will contact you to confirm your registration, payment method and payment schedule.

IF YOU ARE HAVING TROUBLE WITH THIS FORM PLEASE CALL 303-388-4441 OR EMAIL office@bnaihavurah.org / exec@bnaihavurah.org.