Cteen Jr. Girls - ChabadBronx.org

CTeens Jr. Application: Riverdale Girls
Cteen Jr. 2023-24 5784 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.
Meetings will take place bi-monthly on Tuesdays
5:00 - 6:15 PM
Teen Applicant:*

First Name Last Name
Teen's E-mail:*
Teen's Phone:*

Area Code Phone Number
Teen's Hebrew Birthday
Teen's English Birthday

Month Day Year
Parent's Name:*

First Name Last Name
Parent E-mail:*
Parent's Phone: *

Area Code Phone 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)

$250.00

Payment* Please contact Rabbi Shemtov to discuss payment options.

Credit Card Check/Cash

Postal / Zip Code

Country

How did you find out about CTeen Jr. Riverdale? If from a friend please provide her name:
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CTeens Jr. Application: Riverdale Girls