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Contract For Personalized Jewish Instruction, Pastoral Care, Spiritual Counseling and Hebrew Studies

We are looking forward to working with you!

This contract will serve as agreement between the Adventure Rabbi Program and you. To make sure that our time together is used well, please read the following:

Our schedules are intricate and full, making it difficult for us to schedule make-up sessions. Therefore, it is important that you arrive on time and prepared for your sessions.
If you must reschedule, we will do our best to accommodate you. However, in the following cases, a 50% fee will be charged for the first time and 100% will be charged for any additional incident. The card used for this contract will be charged.

- Canceling a session with less than 4 hours notice
- Not showing up at a session
- Arriving at a session unprepared so that a make-up session must be scheduled

If you arrive late for a session, you will be still be charged for the full hour. The instructor is not obligated to continue past the reserved ending time.

Please provide the following:
Contact Information:
Your Name 
Your Email 
Your Phone 
Student's Contact Information: (leave blank if same person as above)
Student's Name 
Student's Email 
Student's Phone 
What Day and Time Would You Prefer?:
Date:  (Sun, Mon, Tues, Wed, Thur, Fri)
If you are signing up for small group lessons, names of classmates:
Group lesson /
names of classmates:
Please Choose:  

Hebrew Tutoring and/or Personalized Jewish Study:

(via video conferencing such as Skype, GoToMeeting or Facetime or at Adventure Rabbi office or in your home)

$70 - One Hour Private Tutoring
$52 per student - One Hour Semi-Private (2 students)
$42 per student - One Hour Semi-Private (3 students)
$36 per student - One Hour Semi-Private (4 students)

Member Discount ($5/hour) - Check here if member

Teaching Location Options:

For sessions held in your home, please add an additional:
+$25 - South Boulder
+$30 - North Boulder and Louisville
+$40 - Lafayette

+ $0 - via Skype or at Adventure Rabbi Office

Pastoral Care ($125/hour)
Spiritual Counseling ($125/hour)

Pastoral Care ($125/hour)
Spiritual Counseling ($125/hour)
Personalized Study ($125/hour) must be paid in 3 class blocks to allow preparation and consistency, total $375


Membership? Want to become an Adventure Rabbi Member?

Sign up yourself and your child for a membership and receive a $5 discount per session. Plus, you attend events at no charge. (Children must sign up for membership with at least one adult.)
More information on membership >>

Teens (13-17): 
Bar / Bat Mitzvah
Children (3-12): 

Pay full membership amount now
Quarterly Payment Plan for membership (Your Credit Card will be charged one-fourth of your total due in January 1, April 1, July 1, October 1 + $36 one-time fee per person)

Billing Information:
Name on Card 
Billing Address 
Payment Method 
Card Number 
Exp. Date 
Code on Back of Card 
& Waiver: 

 <-- Please Enter your Initials to Agree
       to the Terms, Conditions and Waiver.


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