This form is currently closed. Event: Burekas & Moroccan Donuts Night Teen Information Parent Name* First Name Last Name Parent E-mail* Attendees are members? Yes- I registered as a Cteen 2025-26 MemberNo - $10/person Do you want to register as a Cteen Member for 2025-2026? Click HERE to register Number of Teens Attending:* Number of Non-Members Attending: $10/person Name of Teen* First Name Last Name Grade* School E-mail Phone Number (to receive event updates) Area Code Phone Number Teen 2 Name First Name Last Name Teen 2 Grade Teen 2 School Teen 2 Phone Number (to receive event updates) Area Code Phone Number Teen 3 Name First Name Last Name Teen 3 Grade Teen 3 School Teen 3 Phone Number (to receive event updates) Area Code Phone Number Teen 4 Name First Name Last Name Teen 4 Grade Teen 4 School Teen 4 Phone Number (to receive event updates) Area Code Phone Number Teen 5 Name First Name Last Name Teen 5 Grade Teen 5 School Teen 5 Phone Number (to receive event updates) Area Code Phone Number I want to sit with the following table captain's table: I have no preference which tableAdee ZahaviBea ReichmanHuvie HirshfieldLogan HillerElijah BarnettJosh NozikShira DeryiOther Table (please specify below) Please specify captain table: Should be Empty: This page uses TLS encryption to keep your data secure.