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Enrolment Form

  • CHILD 1
  • If your child has attended Camp Gan Izzy or Chabad Hebrew School since 2019, you can register via "Returning Child Enrolment Form." 

    For a full list of rates click here.

    Capacity is limited. Your spot will be confirmed within 2 business days of booking.

  • Early Drop-off / Late Pick-up

    Please select below if you would like early drop-off or late pick-up for an additional $7.50 each per day. 

  • CHILD INFORMATION

  • CCS (Child Care Subsidy) Details

    This is required to receive government subsidies.

  • AUTHORISATION

  • MEDICAL CONDITION & DIETARY RESTRICTION

  • If yes, you MUST email a colour copy of your child’s Action Plan to [email protected] and ensure they bring their medication on each day they attend.

  • ADDITIONAL INFORMATION

  • CHILD 2
  • Early Drop-off / Late Pick-up

    Please select below if you would like early drop-off or late pick-up for an additional $7.50 each per day. 

  • CHILD INFORMATION 

  • CCS (Child Care Subsidy) Details

    This is required to receive government subsidies.

  • AUTHORISATION

  • MEDICAL CONDITION & DIETARY RESTRICTION 

  • If yes, you MUST email a colour copy of your child’s Action Plan to [email protected] and ensure they bring their medication on each day.

  • ADDITIONAL INFORMATION

  • CHILD 3
  • Early Drop-off / Late Pick-up

    Please select below if you would like early drop-off or late pick-up for an additional $7.50 each per day. 

  • CHILD INFORMATION 

  • CCS (Child Care Subsidy) Details 

    This is required to receive government subsidies.
  • AUTHORISATION

  • MEDICAL CONDITION & DIETARY RESTRICTION 

  • If yes, you MUST email a colour copy of your child’s Action Plan to [email protected] and ensure they bring their medication on each day.

  • ADDITIONAL INFORMATION

  • PARENT/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. When you are unavailable to be contacted in the case of an emergency. E.g for medical authorisations, to authorise staff to remove the child form the facility or for any other emergencies. This may also include authorised nominees who may drop off or pick up your child or authorise excursions.

  • Additional/Emergency Contact 1


  • Additional/Emergency Contact 2


  • MEDICAL CONTACT INFORMATION
  • IMMUNISATIONS

    The service needs to sight your child's Immunisation History Statement. Please email [email protected] with your child’s Medicare Immunisation form.

  • ENROLMENT AGREEMENTS

    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.

    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 House of the North Shore Limited, its employees or officers from any claim or liability arising directly or indirectly from the enrolled program.
    • I authorise Camp Gan Izzy to take the above listed child/ren on the excursions for the days they are enroled (excursion list).
    • I confirm I understand that the above listed child/ren will be photographed and videoed for the purposes of recording the wonderful services we offer, 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 - [email protected].
  • PAYMENT INFORMATION

    Please note: All bookings are final and there are no refunds or cancellations. For more information please see terms and conditions. Additionally, all bookings made within 2 business days of the requested day, will incur a late fee of $20 per child.

    Payment is processed in full within 2 days of confirmation of this enrolment. You will be sent an email with a confirmed payment date.

    If CCS has not been confirmed before than, you will be charged regular rates, and once CCS is confirmed, the balance will be credited to your account for future attendances.

    Click here for rates.

    Click here for more information about CCS.

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  • Please note: Your spot is only confirmed upon receipt of a full confirmation email. This can usually be expected within 3 business days of submitting the form.

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