Join

Registration for Cteen is free of charge, excluding fees for trips.

This year's Cteen program is generously sponsored by the Gozlan family.

We encourage you to sign up soon, as the Kick Off event will be September 15. Look out for an email coming soon regarding further information about the event. We look forward to an amazing year of growth, learning, and lots of fun with your teen!
TEEN:
Full Name*
First Name Last Name
Mobile Number

Area Code Phone Number
Personal Email*
Date of Birth*

Month Day Year
School Name
Graduating Year *
PARENTS:
Mother's Info
Mother's Full Name
First Name Last Name
Mobile

Area Code Phone Number
E-mail
My child, mother and maternal grandmother are all born Jewish?**

YesNo
Can we be directly in touch with your child about upcoming events?

YesNo
Father's Info
Father's Full Name
First Name Last Name
Mobile

Area Code Phone Number
E-mail
Comments
Sponsor a Program

Shabbos Meal $360Holiday Program $250Weekly Meet Up $72
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

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TEEN: