Teen's info

Name*
What grade are you in?*
Gender*

Parents info

Parent Name*

Programming Questions

To ensure that you gain as much as possible from the Leadership Training Day, please answer the following questions to help us gain insight into what you’d like to learn:

I have a topic I would like to present:*

Payment

Liability*
If the scholarship code you received isn't working, please contact CTeen.
$
Name on Card*

Cancellation Policy
Cancellations received more than 30 days from your date of arrival will be fully refunded minus a 6% transaction fee.
For any date after, no refunds will be made unless a medical letter is presented or emergency situation arises.

Refunds on promotions will not be made.


Limited scholarships available.

If you have any questions or dietary restrictions, email risa@cteencentral.com.

Form secured by Formstack
Form secured by Formstack