Cteen Trip RSVP - Lubavitch Chabad of Skokie

Full Name of teen:*

First Name Last Name

Have you been to Cteen this school year?*

YesNo

Does teen have a cellphone?*

YesNo

Teen's E-mail*

Teen's cell*

Area Code Phone Number

School for 2025-26*

Grade for 2025-26*

Parent/Guardian*

Prefix First Name Last Name

Parent/Guardian E-mail*

Parent/Guardian Phone Number*

Area Code Phone Number

Any allergies?

Reserving for:*

12/6/25 - SNL Glow Party with Cteen Naperville12/15/25 - Game Show Battle Rooms Chanukah EventOther

I would like to be a sponsor:

$36$54$100

Total

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

I agree to indemnify and hold harmless Lubavitch Chabad of Skokie and Skokie Cteen and their employees in case of injury, G-d forbid. I give my child permission to participate in all activities, and for medical treatment to be administered in case of emergency.

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