Cteen Jr Registration Form

Cteen Jr Registration Form

Please fill out this form to register and pay for the school year September 2025- May 2026. One payment for the year which covers all events except for the NYC trip. Most events cost $20-$30 per teen. Cost for the year is: $220. If your teen will only attend specific events and don't want to pay for the year, please contact Leah@Jewishballantyne.com to be added to the email and text list.
Child 1 Name

First NameMiddle NameLast Name
Child 1 School and Grade (August 2025)
Child 1 Birth Date

MonthDayYear
Child 1 Gender
Any Allergies?
Child 2 Name

First NameMiddle NameLast Name
Child 2 School and Grade (August 2025)
Child 2 Birth Date

MonthDayYear
Child 2 Gender
Any Allergies?
Parent 1 Name
Born JewishNot JewishConverted to Judaism
Parent 2 Name
Born JewishNot JewishConverted to Judaism
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child 1 E-mail
example@example.com
Child 1 Pone number (If applicable)
Child 2 E-mail
example@example.com
Child 2 Phone Number (if applicable)
Parent email *
Parent Phone*
Additional Comments
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Cteen Jr Registration
$220.00 Quantity
Item subtotal:$0.00

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.