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Cteen
Chai Center Chabad · Millburn · Short Hills
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Cteen registration
Dot Cake Making
Sun, Nov 1
6:00 PM
$15
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Teen's Personal Info
Name
*
Cteen First Name
Cteen Last Name
Hebrew Name
First
Cteen Email
*
Cteen Phone #
*
Address
*
Birthday
*
Grade
*
-Select-
9
10
11
12
School
*
Parent Info
Name
*
First
Last
Email
*
Phone
*
Is Father Jewish?
*
-Select-
Yes, by birth
Yes, by conversion
No
Is Mother Jewish?
*
-Select-
Yes, by birth
Yes, by conversion
No
Payment Information
Registration
, price: $15.00
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