Registration - Chabad Enrichment Center

Have you filled out the one time CTeen registration form?*

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Click HERE to register for CTeen!

Upon completion, please come back to fill out this form.
Parents Full Name*
First Name Last Name
Phone Number*
E-mail*
Teen name*
First Name Last Name
Teen E-mail*
Teen Cell*
I look forward to attending on:*

Minute to Win it: November 9Shabbat Dinner: December 12Volunteer: January 11Wreck the Socks: March 15Shabbat Dinner: May 8
Please accept my donation of:

$
Total

$0.00

Payment

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Postal / Zip Code

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