Cteen Annual Registration
School Year 2022-23 

Membership entitles CTeens to to join monthly meetings and events at a reduced rate, and  comes with other member benefits, like leadership roles, and  CTeen  apparel.
Annual Fee: $180.

Monthly Events will require a nominal fee for the cost of that event.

Address Grade
City, Zip & State Hebrew Birthday
Teen's Cell Synagogue
Teen's Email Biological Mother
Emergency Contact Emergency Contact Phone
Mother's Name Father's Name
Mother's Phone Father's Phone
Mother's Email Father's Email

Payment Method Card Number
Expiration CVV Code
Cardholder's Name Billing Zip
Total Amount ($180) Comments
Check can be mailed to Chabad of South Orlando • 7347 W Sand Lake Road • Orlando, FL 32819