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Say Hi!

Boise's CTeen chapter is a fun and proud group of Jewish teens led by Mushka Lewis and Mushka Lifshitz!

We'd love to hear from you!

Submit this form and we'll reach out to let you know how you can get involved!
TEEN:
Full Name*
First Name Last Name
Mobile Number*

Area Code Phone Number
Personal Email*
Date of Birth*

Month Day Year
School Name
I am*

Jewish and want to get involvedNot Jewish but think you guys are cool!

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

I am interested in: Select all that apply

Regular CTEEN gatheringsVolunteering opportunitiesCTEEN Shabbaton in NYCInternational CTEEN TripsClasses
PARENTS:
Mother's Info
Mother's Full Name
First Name Last Name
Mobile

Area Code Phone Number
E-mail
Father's Info
Father's Full Name
First Name Last Name
Mobile

Area Code Phone Number
E-mail
Comments
Should be Empty:

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