Printed from ChabadHouse.org.au

Enrol/Book Online

  • PROGRAM

  • CHILD INFORMATION 

  • CCS (Child Care Subsidy) Details 
    (this is required to receive government subsidies)

  • PARENTS/GUARDIAN DETAILS

    PRIMARY PARENT/GUARDIAN

    (This person's details are used to claim government subsidy) 

  • CCS (Child Care Subsidy) Details 
    (this is required to receive government subsidies)

  • SECONDARY PARENT/GUARDIAN 

  • ADDITIONAL/EMERGENCY CONTACTS (Minimum 2 required)

    Please enter additional contacts for this child's enrolment. This may include emergency contacts when you are not available to be contacted or authorised nominees who may drop off or pick up this child. 

    ADDITIONAL/EMERGENCY CONTACT  1   

  • ADDITIONAL/EMERGENCY CONTACT 2 

  • MEDICAL CONTACTS 

    Please enter your child's Doctors information. You should enter medical contact here.  

  • AUTHORISATION 

    Please enter your child's Doctors information. You should enter medical contact here.  

  • MEDICAL CONDITION & DIETARY RESTRICTION 

  • If yes, you MUST email a colour copy of your child’s Action Plan to chanie@chabadhouse.org.au and ensure they bring their medication on each day.

  • IMMUNISATIONS 
    The service needs to sight either the child's Maternal Health record or the Medicare Immunisation record. 

    Please email chanie@chabadhouse.org.au with your child’s Medicare Immunisation form.

  • ADDITIONAL INFORMATION

  • Child Care Subsidy (CCS) Enrolment Agreement

    As a part of your enrolment at our service we require you to confirm acceptance of the following items in order to be eligible to receive Government funding if available. Acceptance of these items as well as some of the other information in the enrolment form can be used as a Complying Written Arrangement. Please read these items and confirm your acceptance of these items, by signing below.

    ·   I confirm that my details in this enrolment form as well as the details of the child I am enrolling are correct.

    ·   I confirm I have agreed to days of care with this service and understand the start and end times of the care provided.

    ·   I confirm that care may be provided on a casual or flexible basis where available at my service(s) at my request.

    ·  I confirm I understand the usual fees associated with the care of my child which may vary from time to time.

    Chabad Hebrew School Enrolment Agreement

    By signing below, I confirm,

    I indemnify Chabad North Shore against responsibility for any accident, loss or injury suffered by my child/ren during the course of the activities.

    I expressly release Chabad North Shore, its employees or officers from any claim or liability arising directly or indirectly from the enrolled program.

    That my child will be photographed and videoed for the purposes of recording the wonderful services we offer, and sharing this information with our parent-body, and for encouraging the attendance of others within our community. If you specifically do not want pictures of video clips of your child/ren shared, please contact Chanie Schapiro - chanie@chabadhouse.org.au to discuss.

  • DOCUMENTATION

    Please bring-in your original Ketubah (Jewish marriage certificate) and your child’s birth certificate. 

  • PAYMENT AUTHORITY

    I hereby authorise Chabad North Shore to charge my credit card, or bank account using the details below. 

  •   
    Credit Card
  • Should be Empty:
Secure This page uses TLS encryption to keep your data secure.
Upcoming events
Feb. 20, 2019
Cheder Classes 3.30-4.30pm in Breakout Room 1, Aleph Champ Classes 4.40-5.15pm in the weekday shule. Classes conducted by Rabbi Mendy Schapiro.
Feb. 20, 2019
Classes conducted by Rabbi Nochum Schapiro in the bar room.
Feb. 21, 2019
Cheder Classes 3.30-4.30pm in Breakout Room 3, conducted by Chanie Schapiro.
Feb. 21, 2019
Classes conducted by Fruma Schapiro.