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OF GREATER ORLANDO

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CTEEN REGISTRATION 2024-2025!
Please choose:*

Returning for another awesome event!I'm new to Cteen!
Parents Name:*
First Name Last Name
Parent's Number:*
Parents Email:*
Teen's Full Name*
First Name Last Name
Teen's Cell Phone Number*

Area Code Phone Number
E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Teen's Birth Date*

Month Day Year
School*
Grade*
Please select which best describes you:*
Registration:
Full School Year: $360 (includes all trips besides for Magic Night & the NY Shabbaton)
Please select:*

Full Year - $360Bonfire, Movie & S'mores, Jan 12. 6:30 PMEscape Room, Jan. 26 6:30 PM
In an effort to not waste our donors money:*

I give Chabad the right to charge me for the reservation ($50) if my teen doesn't show up
Please select one:

I can help out with transportation to Orlando Tree Trek!I will need transportation
Sponsor a Teen Help a fellow teen join our incredible CTeen events!

I Would like to Sponsor a Teen for the year - $360I Would like to Sponsor a Teen for the NYC Shabbaton - $750
Total:

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

Payment:

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We accept Visa, MasterCard, American Express, Discover
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