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Programs Teens Cteen

Cteen Registration 2027

Full Name*
First Name Last Name
Birth Date

Month Day Year
Before SunsetAfter Sunset
Mother's Maiden Name*
Phone Number*
E-mail*
I would like to register for*

the whole yearthe first session, as a trial
Lunch and Learn for Sec 4 and 5 is on Wednesdays in Chabad. Will you be joining?

YesNoMaybe
School*

BialikHerzliah High SchoolMaimoRoyal WestLCCS. George'sWestmount HighRoyal ValeTrafalgar SchoolSelwyn House
Grade*

Sec 1Sec 2Sec 3Sec 4Sec 5
To Join The WhatsApp Group for Update and Information, Please Click The Link Below
https://chat.whatsapp.com/FZoxhfsJO0j6wpS5lK0rls?mode=ac_t
Optional Donation

$200 - full donation for the year$100 - partial donation for the year$18 - for one session
To Enter The Raffle, Text Your Name to The WhatsApp Group
I would like to receive news and updates by email
Total

$0.00 CAD

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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