CTeen Jr

THIS IS TO REGISTER FOR CTEEN JR. FOR AGES 12-14, FOR THE CTEEN PROGRAM FOR AGES 15-17: CLICK HERE.

Annual membership for Cteen Jr including all activities is $900 per member. This includes all local activities and meetups. It also includes a discount for all regional and national events and programs.

Please fill out the form below carefully. When you press submit, this form will be sent to our administration office.
Household Info
Parent #1 Name*
First Name Last Name
Parent #1 E-mail*
Parent #1 Mobile #*

Area Code Phone Number
Parent #2 Name
First Name Last Name
Parent #2 E-mail
Parent #2 Mobile #

Area Code Phone Number
Child(ren) Info
Number of Jr Teens You Are Registering*
Jr Teen #1 Name*
First Name Last Name
Jr Teen #1 Hebrew Name
Jr Teen #1 Birth Date

Month Day Year
Jr Teen #1 Age As of start of school year
Jr Teen #1 Allergies
Jr Teen #1 Medications
Jr Teen #1 Payment Options* $900 Annual membership

Full Tuition Now ($900)50% Now ($450), 50% by Jan 1st ($450)
Jr Teen #2 Name*
First Name Last Name
Jr Teen #2 Hebrew Name
Jr Teen #2 Birth Date

Month Day Year
Jr Teen #2 Age As of start of school year
Jr Teen #2 Allergies
Jr Teen #2 Medications
Jr Teen #2 Payment Options

Full Tuition Now ($900)50% Now ($450), 50% by Jan 1st ($450)
Jr Teen #3 Name*
First Name Last Name
Jr Teen #3 Hebrew Name
Jr Teen #3 Birth Date

Month Day Year
Jr Teen #3 Age As of start of school year
Jr Teen #3 Allergies
Jr Teen #3 Medications
Jr Teen #3 Payment Options

Full Tuition Now ($900)50% Now ($450), 50% by Jan 1st ($450)
Tuition Total: $900
Tuition Total: $1,800
Tuition Total: $2,700
Due Now

$0.00
Payment Info

Payment

Credit Card eCheck Other

Postal / Zip Code

Country

Terms & Conditions
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad Hebrew School of Bethesda to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad Hebrew School of Bethesda personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Chabad Hebrew School activities and that these pictures may be used for marketing purposes.
Confirmation*

I have read and agree to the above-stated terms. I hereby give my child permission to participate in Chabad Hebrew School of Bethesda including activities, trips, and the receiving of any medical care in the case of emergency. The above releases from liability also apply here, as well.
Signature* Typing your full name is the equivalent of providing your signature
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