CTeen Jr Registration

  • Cteen Jnr Registration Form 

    Session 3: March 23rd- June 8th
    Wednesdays, 5:30pm - 6:30pm

  • Student’s Information

  • Parents’ Information

  • Medical Information

  • Emergency Information

  • As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Cteen 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, Cteen 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 activities and that these pictures may be used for marketing purposes.
  • Payment Information

  • $0.00
    Credit Card
    If you like to pay by check please contact me to discuss this payment plan.
    Billing Address
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