Sign Up! - Chabad of the East Valley

Welcome to our active and engaging teen club! Here is where your teen will feel connected and inspired, eager to learn more about our rich Jewish past, and committed to build a bright Jewish future. Our teen members are warm and welcoming and if they haven't already, your teen is sure to feel like family quite soon.
Please note: Membership is NOT required, though if you would like to donate, you can do so at the bottom of this form. Thank you!
Teen Information
Name*
First NameLast Name
Birth Date*
MonthDayYear
Phone Number
Area CodePhone Number
High School*
Grade*
Medical/Allergy Information
Parent/Guardian Information
Name*
First NameLast Name
Phone Number*
Area CodePhone Number
E-mail*

Address

OPTIONAL DONATION
CTeen does not charge membership, we rely solely on you, our dear donor. If you would like to donate, please enter the amount below and you will become our partner in the good work we do!
How would you like to partner?
Regional WeekendOne (1) Month of High School Kosher Food ClubsPair of TefillinShabbat MealLounge Night
Total
$0.00
Payment*
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