CTeen Registration 2023-2024 - ChabadatShortHills.org

Address*

Teens Cell Phone #*

Area Code Phone Number
Teens E-mail Adress*
Any allergies?
Additional notable Information
Agreement*

I hereby give permission for my child to participate in all school activities, join in class and school trips and beyond school properties. I hereby give permission for Chabad at Short Hills to photograph my child and to use the images in website, newsletter and flyers.
Father's Name

First Name Last Name
Father's Hebrew Name
Father's Cell

Area Code Phone Number
Father's E-mail
Father Jewish By
Should be Empty:

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