Cteen Jr Registration

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Cteen Jr Registration
If you have any questions or concerns you would like to discuss with us, please feel free to call us at please feel free to call us at 760-806-7765 or email [email protected]
Child's Information
Full Name*
First Name Last Name
Birth Date*

Month Day Year

Address*

Parent's Information
Parent Name*
First Name Last Name
Parent's Cell*
Parent's E-mail*
Emergency Information & Terms
Terms of Agreement*

As the parent(s) or legal guardian(s) of the above child, I/we authorize any adult acting on behalf of Cteen Jr to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Cteen Jr activities and that these pictures may be used for marketing purposes.
Tuition
Tuition: $180

* Every Jewish child deserves a quality education. Please don't hesitate to reach out to us for a scholarship or payment plan that can work for your family. No child will be turned away due to lack of funds.
Tuition

One Time payment $1802 Payments $90
Scholarship Fund
If you are in a position to contribute to our scholarship fund, please consider helping a very deserving child connect to their Jewish roots.
I would like to make a contribution to the Scholarship Fund in the amount of:

Full Scholarship $180
Payment Information
Total

$0.00

Payment

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Postal / Zip Code

Country

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Child's Information