B"H

Gan Izzy Day Camps 2021
 

 

Gan Izzy Primary 5 - 9 July 2021   |   Boys and Girls age 4 - 13 

 

Program 9:00am - 4:00 pm / Friday end at 2:00pm

Teen programs start 9:30am  

 



Child 1 Last Name First Name DOB

Child 2 Last Name First Name DOB

Child 3 Last Name First Name DOB

Child 4 Last Name First Name DOB


Days Attending:

5 - 9 July 2021       WeekMon Tues Wed Thur Fri 


 

Contact Details:

Parent Name*  

Home Phone Number*  Mobile*  Email* 

Home Address*  Suburb*  Post Code* 

Emergency Contact:

Name*  Phone*  Relationship to child* 


Medical information:

Medicare no. expiry date

Private hospital insurance fund and number

Full list of all current medications and dosages

Drug allergies

Any medical conditions (past and current)

Date of latest booster (including ADT, triple antigen, infanrix or CDT vaccines)

Local GP: name, address, office phone and after hours phone/mobile


Other Guests Names (please separate with a comma)

Total Number of days attending

Comment


Camp will provide lunch Snacks and drinks throughout camp for Day camp only - Teen campers should bring their own.

Primary Gan Izzy (4 - 8 Jan) will use private bus service. Teen Camps will use Public Transport


Payment Options

Costs for primary campers is $290 per week OR $70 Per day

To apply for a subsidy through the Gan Yisroel Subsidy fund, please click HERE  

Payment information must be provided before camp, Full charges will only be made at the end of Camp.

Card type

Card No. Expiry Month Year

Name on the Card

 

For a full list of our Policies and Procedures, please click here  

 

I hereby accept that Sydney Talmudical College Association, Bnei akiva, Lubavitch Jewish Centre, Chabad Youth NSW, Mizrachi synagogue or their employees and agents, bear no responsibility for any harm or injury that might befall my child. In the event of my child becoming ill or injured during the course of camp, I authorise the above mentioned entities to take the necessary steps to ensure that my child receives appropriate medical attention, for which I will accept full payment for any costs incurred.

I acknowledge that my child will be participating in camp activities both within and outside the camp venue grounds. I authorise my child to participate in these activities.


I hereby indemnify Sydney Talmudical College Association, Bnei Akiva, Lubavitch Jewish Centre,Mizrachi Synagogue, Chabad Youth NSW their employees and agents, for any demands, claims, actions or suits made against any of them, by any person, arising from or in relation to any act or omission by my child.

Parent / Guardian Signature*  Date* 

For more information please call 0433 549 190