Welcome aboard Cteen Extreme Summer Camp 5783 - 2023!
Name
*
First Name
Last Name
Current Age
*
Teen's Date of Birth
*
-
Day
-
Month
Year
Date
Teen's E-mail
*
example@example.com
Teen's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What standard will you be entering in June? (or just entered)
*
Please Select
8th
9th
10
11th
12th
Senior college year 1
Senior college year 2
Other..
Do you have any allergies or food diets please specify.
*
Example: No / only veg
Parent Contact number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Whose contact is this?
*
Additional emergency number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Whose contact is this?
*
I would like daily transportation to and from Camp (free for central Mumbai & Thane) Additional areas - please discuss with Mushki
*
Yes
No thanks, I will find my own way to and from camp activities
I don't live in central Mumbai or Thane, but would like to hear of transportation options
Other
Address Location (for pickup / drop off)
*
T-shirt Size
*
Extra Small
Small
Medium
Large
Extra Large
XX Large
XXX Large
Other
Joining Camp is conditional to participating in three Teens Torah Talks Classes. Choose the dates you will be joining
*
April 30
May 4
May 7
Lag Baomer Bonfire meetup on April 8th or 9th
I have already attended 3 classes
Other
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Price
Until Sunday, April 23, 11:59 pm
5,000.00
INR
Donation
I would like to donate for the camp expenses.
1,500.00
INR
Donation
I would like to donate for the camp expenses.
2,500.00
INR
Only parents signature: I allow my child to join all parts of the program
*
Submit
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