Child Education: Non Member - ACT Jewish Community Inc

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Non-member: Child Education Enrolments

REGISTRATION OF STUDENTS TO BE COMPLETED ONLINE BEFORE ANY ATTENDANCE AT CLASSES

(late registrations may mean students do not receive their resources)

Please register your child(ren) using ONE FORM PER CHILD.

Unfortunately, we are unable to refund any fees for any non-attendance during the semester unless with prior agreement with the ACTJC Office.

DETAILS OF FIRST PARENT

Parent #1's Name

Parent #1's Email

Parent #1's Phone Number

Parent 1's Address

Are you a permanent resident of Australia? Please select one:

DETAILS OF SECOND PARENT

Parent #2's Name

Parent #2's Email

Parent #2's Phone Number

Parent #2's Email

Are you a permanent resident of Australia? Please select one:

EMERGENCY CONTACT/S

Emergency Contact's Name

Emergency Contact's Number

I give permission that in the event of an emergency, if I cannot be contacted, medical support can be sought.

DETAILS OF CHILD

Child's First and Last Name

Child's Date of Birth:

Name of School

School Year

Does your child have any allergies or medical conditions we should know about?

I give permission that my child's photograph can be used for internal publications without any names, and in the event of external publications I will be asked for specific permission

EDUCATION PROGRAM

What elements of the program will your child be attending?

CHEDER (ages 5-10) - 9.30am - 11.30am at the ACTJC Centre in ForrestNATIV (turning 12-13) - 9.30am - 11.30am at the ACTJC Centre in ForrestCATZ (ages 5+) - 11:45am - 1.15pm at the ACTJC Centre in Forrest

Please note that your child can attend multiple program elements.

COSTS

CHEDER - $230 per childAdditional fees may be incurred for optional outings

NATIV - $230 per childAdditional fees may be incurred for optional outings

CATZ - $130Additional fees may be incurred for optional outings

Total to be paid

Sun, 3 December 2023 20 Kislev 5784