MICAH Public Meeting Registration 10/21/18

Home

Home
Donate

Home

Moving Memphis Forward: MICAH Public Meeting
Historic Mason Temple | 930 Mason St, Memphis, TN 38126
Sunday, October 21st, 2018

Thank you for your interest in joining the Temple Israel, Beth Sholom Synagogue, and Voices of Reason delegation at Moving Memphis Forward: MICAH Public Meeting! Join us while our three task forces present their issues and ask public officials and power brokers to commit to working with MICAH. Please register below and indicate if you would prefer to ride on the bus from Temple or provide your own transportation.

Full Schedule:
Meet at Temple Israel at 3:15pm
Buses depart at 3:30pm
Meeting from 4:30-6:00pm
Buses will return to Temple Israel by 6:45pm

Temple Israel is located at 1376 E Massey Rd., Memphis, TN 38120.

Contact Information

First Name

Last Name

* Cell Phone Number

* Email Address

* Which Jewish organization will you be representing?

Bus Registration Information

* Will you be taking the bus from Temple Israel?

Please Select OneYesNo

Riding the bus costs $10 per person. Any surplus funds will be donated to MICAH.

* How many people, including yourself, would you like to register for the bus?

Total:

* Please list the full names of all people you are registering for the bus:

Would you like to register anyone else for this event? Please list their full names below:

Liability Release Form
By checkmarking this box, I hereby release, discharge, and hold harmless Temple Israel, Voices of Reason, and Beth Sholom, their employees, and staff, approved drivers, and their collective and individual agents, heirs, assigns and representatives (collectively, "Released Parties"), from any and all liability, damages, losses, costs, or claims of any kind whatsoever, to or incurred by me, my child, or other person on or affiliated with the MICAH Public Meeting transportation. I understand that this Liability Release & Hold Harmless specifically and expressly includes without limitation such liability, damages, losses, costs, or claims alleged to be caused by my own negligence or the negligence of another individual attending the MICAH Public Meeting, a third-party, an unknown person or cause, and/or by one or more of the Released Parties.

* Yes, I release all parties.

Yes, I release all parties.

Total:

Fri, April 26 2024 18 Nisan 5784