Cteen Try Out Please use this form if you would like to try out a Cteen event. If you would like to sign up for the year, please use this form. Teen's Name* First Name Last Name E-mail Teen Phone Number* Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Grade* Parent's Name* First Name Last Name E-mail* Parent's Phone Number* Is the teen's mother Jewish?* Yes, by birthYes, by choiceNo Is the teen's maternal grandmother Jewish?* Yes, by birthYes, by choiceNo Are there any conversions or adoptions in the family?* YesNo If yes, please elaborate* Submit Should be Empty: This page uses TLS encryption to keep your data secure.