Register CG - Chabad Glen Eira
« Back to Chabad Glen Eira
  • CAMP GEMS ENROLLMENT FORM (9 - 12 July 2018)

    Early bird discount of $55/day until 13 June or until all E.Bird allocations taken. Late admin fee, after 28 June extra $15/day.
  • Child 1 Information

  • Child 2 Information

  • Child 3 Information

  • Parents and Contact Information

  • Emergency Information

  • DECLARATION OF PARENT / GUARDIAN 
    I hereby authorise GEMS - Chabad House Glen Eira leaders and staff to obtain any medical care necessary for my child. I understand that in the case of emergency of any significant illness or injury, attempt will be made to contact myself when practical. I agree to pay for any cost that may occur as a result of the injury/illness. I acknowledge my child may be participate in activities within and outside the Chabad grounds. I authorise my child to participate in these activities.
    I hereby authorise GEMS - Chabad House Glen Eira to photograph my child and to use the photographs at their discretion.

  • Credit Card
  • $0.00
  • Should be Empty:
Secure This page uses TLS encryption to keep your data secure.