CTeen Registration Form - Chabad of Southlake

CTeen Program Registration

We are thrilled to announce that we are able to offer the entire CTeen program for this school year at the subsidized rate of just $299! This package includes weekly dinners, curriculum and textbooks, and admission to all trips. Your registration covers all CTeen events for the entire school year.

Financial Assistance - If these amounts are not feasible for your family, please don’t hesitate to reach out to us at [email protected]. We firmly believe that cost should never be a barrier to participation. We are committed to working with you, and all inquiries will be handled with care and discretion. No one will be turned away due to lack of funds.

NYC Shabbaton

NYC Shabbaton not included in registration. Once this years information becomes available we will let you know.
My Information
Name of Parent FIlling Out the Form
First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Number of Teens I'm Registering
Full Year Registration
Number of Teens I'm Registering
Mid-Year Registration
Teen #1 Name
First Name Last Name
Teen #2 Name
First Name Last Name
Teen #3 Name
First Name Last Name
Payment Information
Yes! I would like to support Cteen programing by making a donation of:

$
Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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CTeen Program Registration