Printed from thechabadcenter.org

Cteen Event & Membership Form

Cteen Event & Membership Form


 Cteen logo 3.jpg

Cteen Membership & Event Sign Up Form
 
 

Name:

 Last Name

 First Name

 Hebrew Name

 E-mail

 Cell #

Date of Birth:

Age   MM/DD/YYYY

 Grade / School

Parents:

 Parents Name 
 
 Address

E-mail

 Home #

Cost for Cteen Annual Membership:

$18
 (Includes discounts on all events) 

Yes I would like to becomes a memeber

Questions or comments

For information please contact us at
856-874-1500 or email
YK@thechabadcenter.org


 

 

 


 

Secure This page uses 128 bit SSL encryption to keep your data secure.

Prayer Schedule

Shabbat & Weekday