Teen Nights 2026 Form

Teen Nights

Join us for a night of fun, friends, and new adventures. Teens ages 13 and older Time: 7:00 pm - 8:30 pm; $45/night; 151 Summit Ave, Summit NJ 07901
Teen's Name

First NameLast Name
Date of Birth:

MonthDayYear
Date
Current Date

MonthDayYear
Date
Age:
Parent Contact:
Emergency Contact:
Allergies/Medical Information:
Person other than parent authorized to pick up:
Is your child a current or past client of CSS?
Photo/Video Consent:
How did you hear about the program?

Debit or Credit Card

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

Teen Nights