We are excited to offer a unique program to engage our teens at Temple Emanuel after becoming B'nai Mitzvah. Our PASSPORT program is a travel-based fellowship where teens will have a variety of creative leadership development tracks - each culminating in a fun, experiential trip led by clergy and senior staff later in the year. We recognize that your teens' schedules are filled to the brim, and we want their time at Temple Emanuel to enrich their preparation for college and the bright futures ahead of them. We've transformed out post-B'nai mitzvah programming to address the limited time of teens and tier need to build their resumes for college by shifting from a confirmation-centered curriculum to PASSPORT. This one-of-a-kind leadership-development fellowship meets the needs for young students where they are, and offers them a chance to build their Jewish identities through travel and shared experiences. Your teens will have the opportunity to participate in several different themed tracks, explored through monthly meetings, including in a multi-day travel experience. Eighth graders will all apply to the same track (see below), and 9th-12th graders will be invited to choose from between two options, to be expanded in future years.

Paving a Path to Justice: This track offers students in grades 8-12 the opportunity to explore their Jewish identities by encountering the history of the civil rights movement in America, and exploring the Jewish imperative to pursue justice. By studying the people and events of the civil rights movement in America and engaging with Jewish texts and values, participants will be challenged to integrate a commitment to social justice into their Jewish identities. In the spring, the program will culminate in a four-day journey to Atlanta, Montgomery, Birmingham and Selma for a guided, close-up experience of the history of the civil rights movement. Trip dates: April 26, 2018 - April 29, 2018.

Teen Civic Leadership Council: Students are invited to learn the ins and outs of being a community leader with a Jewish lens. We have built a nationally-celebrated partnership with the Religious Action Center (RAC). Each year, teens select an issue that engages their intellect and passion, learn from experts in the field, lobby, and engage in non-profit advocacy and philanthropy. From January 19-22, 2018, the students take a 4-day trip to Washington, D.C. to meet and learn with over two thousand teens from across the country, through the RAC's L'Taken Social Justice seminar. For students in grades 9-12.

In which PASSPORT program will you participate?

Agreement

I agree that all of the information above is true to the best of my knowledge. I understand that this application is only the first step toward becoming a Madrich/a and that I will be contacted by the Religious School Director and/or an advisor to learn more about the rest of the process. I have shown this application to my parent(s)/guardian(s) so that they know I'm making a commitment to this awesome program. I recognize that being a Madrich/a is an unpaid position. I may receive a stipend as a gift to honor the work I do. I am able to commit at least 20 of out of 24 Sundays of work for the year. If there are extraordinary circumstances where this is not possible, I will contact the Director of the Religious School, [email protected].

SIGNATURE: AUTHORIZATION AND CONSENT FOR TREATMENT OF A MINOR Either parent, or a guardian having legal custody of a minor, may give written authorization for an adult into whose care the minor has been entrusted to consent to x-ray examinations, anesthesia, medical or surgical diagnosis and/or treatment and hospital care to be rendered to said minor under the general or special supervision and advice of a physician or surgeon licensed under the provisions of the Medical Practice Act, or to x-ray examinations, anesthesia, dental and/or surgical diagnosis or treatment and hospital care to be rendered to said minor by a dentist licensed under the provisions of the Dental Practice Act. AUTHORIZATION: I hereby authorize Temple Emanuel of Beverly Hills and its schools to procure medical, hospital or dental care for child named above in the event of injury or illness while the child is in the care of the above named facility or person(s). I HEREBY RELEASE, DISCHARGE AND AGREE TO HOLD HARMLESS, to the fullest extent permitted by law, Temple Emanuel of Beverly Hills and its schools, employees, volunteers and other representatives for the provision of this care. It is further understood that the undersigned will assume full responsibility for any such treatment, including the payment of all costs and expenses. I further acknowledge and accept that this Disclaimer, Assumption of Risk and Waiver is intended to be as broad and inclusive as permitted by the laws of the state of California and agree that if any portion of this Disclaimer, Assumption of Risk and Waiver is deemed to be invalid, the remainder will continue in full legal force and effect.

Please complete the contact information below. Religious School updates are sent out weekly via email to all addresses listed.

I/We agree to abide by all of the rules, regulations, and decisions of Emanuel Center Inc. DBA (doing business as) Temple Emanuel of Beverly Hills (Temple Emanuel Religious School or “Temple”) as they may be amended from time-to-time. I also understand that there are no refunds on any of the Religious School registration fees or tuition. TERMS (please read carefully): All tuition, dues, fees, assessments, and charges in this contract must be paid by the stated due dates or late payment fees of $30 per month will be applied. All payment plans must be guaranteed by a credit card. Payments are applied first to temple dues and then to tuition. There are multiple payment options. The cost for tuition and associated fees will vary depending upon which payment option you select.