Cteen & Cteen Jr. Event Registration - Chabad of the North Peninsula

Address

Parents information:
Mother's Name*
First Name Last Name
Mother's Mobile*
Mother's E-mail*
Marital Status
Father's Name
First Name Last Name
Father's Mobile
Father's E-mail
Cteen Member - 9th-12th Grade:

Membership ($10) includes:

9 local chapter events/trips.

3 regional events/trips

14 local chapter Jewbiz Torah insight discussions

$25 off the NYC Shabbaton
Cteen Jr. Member - 7th-8th Grade:

Membership ($10) includes:

3 local chapter events/trips.

3 regional events/trips
I would like to:*

Become a Cteen Member $10Become a Cteen Jr. Member $10Pay for each event individually (See below)
If you choose the paid membership option. Do not click off each event individually as it will charge you again. You can write in the comments section which events you do not plan on attending.

Click on the following link to sign up for the paintball shooting trip: cteen.com/regionals/norcal

If you are a cteen member you do not need to sign up for each individual event.
I plan on attending the following cteen events (All events are included in the membership, this does not effect the price)*

Sunday, May 17 - Bubble Ball (Cteen & Cteen Jr.)Jewbiz chats (Wednesday's)
Hopefulicious 2 event

I would like to help with delivering the food packages on Monday, March 16 (after school)
Total

$0.00
Commentts: (If you chose the paid membership option and you do not plan on attending an event, please make note of it here).

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

This page uses TLS encryption to keep your data secure.

Teen Information