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 Hebrew name (if known)

Child's Date of Birth:

Does your child have any special hobbies, skills or interests?

Name of School

School Year

Could you tell us a bit about your child’s learning style?

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

Does your child have any special requirements we should be aware of?

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 - 11.45am at the ACTJC Centre in ForrestNATIV (turning 12-13) - 9.30am - 11.45am 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 - $65Please not that CaTZ will be offered in a different format this semester and will not take place weekly.

Total to be paid

Thu, 5 December 2024 4 Kislev 5785

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