Sign Up

Here at CTeen of Pacific Palisades we have an open-door policy. If you are a Jewish teen in grades 8-12, we are more than thrilled to have you join in our programs and activities.

Please fill out this form so we can keep you in the loop of all that we have going on and feel free to send this to anyone you think may be interested.
Teen Info
Name*

First Name Last Name
Date of Birth and approx. time

Month Day Year
at Hour Minutes
Hebrew Birthday if known
Email*
Phone Number*
School*
Grade*

Address*

Tshirt Size*
Where did you hear about Cteen?
Is the father of teen Jewish?*

Yes, by birthYes, by choiceNo
Is the mother of teen Jewish?*

Yes, by birthYes, by choiceNo
Parent Info
Parent 1*

First Name Last Name
Email*
Phone Number*
Parent 2*

First Name Last Name
Email*
Phone Number*
Volunteer Opportunities

Please reach out for parent related volunteer opportunities
Membership
Help us cover the costs of your teen for all events and programming that happen at CTeen, and become a committed member of the CTeen family.

No one will ever be turned away due to lack of funds.
CTeen Membership Program Members get a CTeen swag bag and enjoy a special discount for the NYC Shabbaton

Full Membership - $500Subsidized Membership - $180CTeen Monthly Investor
CTeen Monthly Investor* Sign up for $100 (or more) per month and invest in the future of CTeen Northridge (membership included)

$100$180$360$500$720$1000
Total

$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

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Teen Info