CTeen Registration 2024-2025

CTeen Membership Registration Form
CTeen Membership
With the exception of trips and Shabbatons- we will not be charging for events. Instead, we are offering Cteen membership for $49 per participant per year. Teens do not need to be members to attend the events.

Membership has it's perks!
>>Cteen T-shirt and Swag.
>>Member discount for the Regional Shabbaton (Texas-Wide)
>>- Member discount for the International shabbaton (NYC)
We have discounted the cost of membership in order to make CTeen accessible to all Jewish teens who want to join. Of course Shabbat dinners and programs cost a considerable amount of money and so we invite parents to be a sponsor or co-sponsor of any of our events. See below for sponsorship options.
CTeen Member's Info:
Amount of children to register*
Teen's Full Name*
First Name Last Name
Teen's Cell Phone Number*

Area Code Phone Number
Teen's E-mail*
Teen's Birth Date*

Month Day Year
Teen's Graduating Year*
Were the child(ren), mother and maternal grandmother all born Jewish?**

YesNo
Conversion or adoption information
Teen 2:
Teen 2 Full Name
First Name Last Name
Teen 2 Cell Phone Number

Area Code Phone Number
Teen 2 E-mail
Teen 2 Birth Date

Month Day Year
Teen 2 Graduating Year
Teen 3:
Teen 3 Full Name
First Name Last Name
Teen 3 Cell Phone Number

Area Code Phone Number
Teen 3 E-mail
Teen 3 Birth Date

Month Day Year
Teen 3 Graduating Year
Parent Info:
Parent 1:
Full Name*
First Name Last Name
Phone Number*

Area Code Phone Number
E-mail*
Parent 2:
Full Name
First Name Last Name
Phone Number

Area Code Phone Number
E-mail
Can we be in touch with your child direcltly about upcoming events

YesNo
If yes, what's your child's phone number
Sponsorship Options:
I would like to sponsor:

Shabbat Dinner ($360)CTeen Event ($250)Partial Sponsor ($180)
Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Should be Empty:

This page uses TLS encryption to keep your data secure.

CTeen Membership Registration Form

CTeen Member's Info:

Parent Info:

Sponsorship Options:

The Shul

Hebrew School

Camp Gan Israel

Mikvah

Jewish Learning Institute

Gan Gani Preschool