Returning Child - Chabad North Shore
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Returning Child

  • RETURNING CHILD ENROLMENT FORM

    You can use this form if your child attended Camp Gan Izzy or Chabad Hebrew School in 2019 or 2020
  • Early Drop-off / Late Pick-up

    Please select below if you would like early drop-off or late pick-up for an additional $5 each. 

  • THE TOTAL EXCLUDES THE CCS SUBSIDY (IF ELIGIBLE)

  • $0.00
  • CHILD INFORMATION

    Please fill-in a separate form for each child.

  • PARENTS/GUARDIAN INFORMATION

    Primary parent or guardian (as recorded with Centrelink)

  • AUTHRISATION 

  • MEDICAL CONDITION AND/OR DIETARY RESTRICTION 

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

  • ADDITIONAL INFORMATION

  • CCS ENROLMENT AGREEMENT

    As a part of your enrolment at our service (Camp Gan Izzy) 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.

      

    CAMP GAN IZZY 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.

    ·  I agree to the terms and conditions listed here .
    ·  I authorise Camp Gan Izzy to take the above child on the excursions that are on the days I have enrolled them based on this excursion list here.  

    ·  I understand 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 to discuss.)

  • PAYMENT INFORMATION

    Please note: All bookings are final and there are no refunds for cancellations. For more information please see terms and conditions.

    IMPORTANT NOTE RE: CCS (CHILD CARE SUBSIDY)

    All payment will be processed upon completion of the enrolment form.

    If you are a new applicant and have not yet confirmed CCS, we will charge you 50% upon completion of the form and will charge the balance on two weeks prior to commencement of the camp session (to give you time to apply for CCS).

    If you are approved for CCS at a later date, and the subsidy is paid to Camp Gan Izzy, you will be reimbursed the difference.

    Click here for the rates.

    Click here for more information about CCS.

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    Credit Card
  • The information below should only be completed if you selected Direct Debit.

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