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Cteen Myrtle Beach Trip

This trip has ended, we look forward to hosting you on another grand adventure soon!
I would like to join the Cteen overnight trip, I will be respectful to all Rabbi's and staff & adhere to all the rules & guidelines laid out by Cteen of the Carolinas.*

Yes
Full Name*

First Name Last Name
Birth Date* Must be 14yo or older (Entering 9th grade or above)

Month Day Year
E-mail*
Personal Cell Phone Number* By filling in your number, you agree to be added to the Cteen trip Whatsapp group which will be used for updates leading up to and during the trip

Area Code Phone Number
Any Allergies or medical conditions?
Dear Parents or Guardians:

This trip is being arranged by Cteen of the Triangle, Charlotte and the Carolinas.

By clicking on the checkbox below you release Chabad of Raleigh (Chabad Center of Raleigh - Sha'arei Israel) & Chabad of Chartlotte from all liability.
Father's Full Name*

First Name Last Name
Father's Cell Number* Emergency contact

Area Code Phone Number
Mother's Full Name*

First Name Last Name
Mother's Cell Number* Emergency Contact

Area Code Phone Number
I agree with the terms mentioned above and release Chabad from all liability.*

Yes
While this trip has ended, Cteen can always use your support!

Payment*

Credit Card Paypal

Postal / Zip Code

Country

We at Cteen are working very hard on getting grants and sponsorships for this very subsidized trip, please consider helping with a sponsorship of any amount.

$50 $75 $100 $150
Total

$0.00
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