Cteen Event Registration

Teen's Name*

First Name Last Name

Teen's Mobile Number*

Teen's E-mail*

Teen's Date of Birth

Month Day Year

School*

Grade*

How did you hear about Cteen NP

Address

Street Address
Street Address Line 2
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Mother's Name*

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Mother's Mobile*

Mother's E-mail*

Marital Status

Father's Name

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Father's Mobile

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Cteen Member - 9th-12th Grade:

Membership ($10) includes:

8 local chapter events/trips.

3 regional events/trips

14 local chapter Jewbiz Torah insight discussions

$25 off the NYC Shabbaton

I would like to:*

Become a Cteen 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)

I plan on attending the following cteen events *

Total

$0.00

Comments:

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We accept Visa, MasterCard, American Express, Discover
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Teen Information

Parents information: