Cteen Smoothie Showdown! – Chai Center Chabad

Cteen Tu B'Shvat Smoothie Showdown!

Teen's Name:*
First Last
Teen #2 (If sibling, if not related please fill out a separate form.)
Grade:*
Teen's Phone Number:*
Parents' Names:*
Email*
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code