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Thank you for your interest in joining CTeen NW Seattle.

We look forward to getting to know you and your family and welcoming your Teen to this awesome club.

Sign up here to join our parent email list!

We send regular emails to keep you informed of upcoming events, trips and programs with Cteen / Cteen Junior.

If you have any question's please call Rabbi Yoni at 206 851 9831
Teen contact information
Full Name*

First Name Last Name
Mobile Number

Area Code Phone Number
Personal Email*
Date of Birth* Example: 01/02/2001

Month Day Year
School name?*
Grade?*

Address*

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

PARENTS:
Mother's Full Name*

First Name Last Name
Father's Full Name*

First Name Last Name
Mobile*

Area Code Phone Number
E-mail*

Address*

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

Total

$0.00
I want to support Cteens

$3600 $1800 $1000 $540 $360

Payment

Credit Card Paypal

Postal / Zip Code

Country

Should be Empty:

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