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Teen Leadership Retreat Registration Sunday 3rd September 10am - 7pm

We look forward to giving your child an awesome time while also imparting them with some great leadership skills and experience. Meet at Chabad Malvern at 10:00am and pick up at 7pm, a full schedule will be sent to you a weeks prior to the program. For any questions or queries please dont hesitate to contact us. Thanks, Reuvi & Menucha Cooper
Child Name

First Name Last Name
Birth Date

Day Month Year
Child Email Address* Email Address
Child Mobile Number
School
Year level 2023
Hobbies
Parent Name 1

First Name Last Name
Parent Name 2

First Name Last Name
Parent E-mail* Email Address
Parent Mobile Number

Address

Total (includes transportation, lunch, dinner and all activities) Please note following the retreat each teen will be able to help run at least 3 of the upcoming programs at shul and make minimum $180

$60

Payment

Credit Card

We accept Visa, MasterCard, American Express
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

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Teen Leadership Retreat