Cteen Jr. Girls - ChabadBronx.org

CTeens Jr. Application: Riverdale Girls
Cteens 2022-23 5783 registration is open!! Sign up now to receive your welcome packet!
By signing up to be a Cteens member you will receive Cteen perks throughout the month and get to be part of a grand event monthly in the Cteen lounge. There will also be special Cteen trips throughout the year.
-Chaya Mushka Shemtov
Click here to see pictures of CTEEN this year
Meetings will take place bi-monthly on Tuesdays - Starting Nov 8
5:00 - 6:15 PM
Teen Applicant:*
First NameLast Name
Teen's E-mail:*
Teen's Phone:*
Area CodePhone Number
Teen's Hebrew Birthday
Teen's English Birthday
MonthDayYear
Parent's Name:*
First NameLast Name
Parent E-mail:*
Parent's Phone:*
Area CodePhone Number
Best way to contact teen:*
Parent's numberParent's emailTeen's phoneTeen's email

Home Address*(to drop off supplies)

Name of School*
Grade of Teen*
To be filled out by Teen: What are you most hoping to gain from joining us this year? What is a topic you are interested in?
To be filled out by parent: What are you hoping to see your teen gain from this program?
Cost of year
250
Total (includes all the trips and activities)
$0.00

Payment*Please contact Rabbi Shemtov to discuss payment options.

Credit Card Check/Cash

Postal / Zip Code

Country

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CTeens Jr. Application: Riverdale Girls