Cteen

CTeens Application: Riverdale Girls
Cteens 2021-22 5782 registration is open!! Sign up now to receive your welcome packet!
After an incredible first year we are excited to announce that we will be continuing this coming year in person in a COVID safe manner. Cteen will begin after Tishrei/September.
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 NEW Cteen lounge. There will also be special Cteen trips throughout the year.
-Chaya Mushka Shemtov
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*
Best weekday
SundayMondayTuesdayWednesdayThursday
Preferred times (approximately two hours)
5:005:306:006:307:007:30
Is there a day or time that can not work and if yes when?
To be filled out by child: What are you most excited for having in person programs?
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?
To be filled out by parent: COVID concerns
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

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