CTeen High School Club Registration Form 2024/2025

CTeen High School Club Registration Form 2023/2024
Parent Full Name*
First Name Last Name
Parent Phone Number*

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

Area Code Phone Number
Teen Birth Date*

Month Day Year
Are there any conversions in the teen's family? *
If yes, please explain.
What school does your teen attend? *
Current Grade*
Membership Details:

CTeen High School Club Membership is optional. Membership is reccommended and includes free or discounted programs and events throughout the year. Non Members will be able to join with a fee.

Pricing:

Chabad at Monterra Members: $200/child

Non Chabad at Monterra Members: $250/child

Per Program: $20
*This option is for those who wish to pay per program versus yearly!*
Are you a Chabad at Monterra Member?* Optional
Would you like your Teen to become a CTeen High School Club Member?* Optional
Total

$0.00

Payment*

Credit Card Paypal Zelle, Venmo

Postal / Zip Code

Country

Code of Conduct

By clicking the check box: Your teen understands that CTeen is a Jewish network for teens. Your teen will respect others, respect the building, follow instructions from the staff or Rabbi, and help CTeen Cooper City have the best year. It is the parent's responsibility to cover the costs of any damages caused by your teen.
Should be Empty:

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CTeen High School Club Registration Form 2023/2024