Child Education: Non Member

Please use one form per child registration.

Please note we are unable to refund for any partial attendance during the semester.
If you wish to pay your semester school fees in instalments, please contact the office - act.admin@actjc.org.au.

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 Address

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 (Years K-2) - 9.30am - 11.00am at the ACTJC Centre in ForrestCHEDER (Years 3-7) - 9.30am - 12.00pm at the ACTJC Centre in ForrestCATZ (Years K-4) - 9:30am - 11:00am the ACTJC Centre in ForrestCATZ (Years 5-8) - 9:30am - 11:00am at the ACTJC Centre in Forrest

Please note that your child can attend multiple program elements.

COSTS

CHEDER + CaTZ (Years K-2) - $125CHEDER + CaTZ (Years 3-7) - $250Some CHEDER Plus programs occuring outside of cheder hours, may attrack an additional fee.

Class project

Class Project (K - 2) - $30Class Project (3 - 7) - $40Class projects are a compulsory part of learning. Please tick the box that applies to your child.

There is an additional fee for class projects.

Total to be paid

Non-member: Child Education Enrolments