Gan Izzy Day Camp Booking Form

12 - 16 January 2026 | Boys and Girls Year K-6 | Year 5 - 8 Yeshivas Kayitz

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

For more information and the parent handbook including trip info, please click here

Please see below information regarding sponsorships. for other personal requests, please visit cyn.org.au/subsidy or email [email protected]

For extra security, location and schedule will be confirmed only once camp bookings have been made

A minimum of 2 days must be booked to join the camp.

Child 1 Full Name*

First Name Last Name

Child 1 Birth Date*

Month Day Year

Child 1 Gender*

Child 1 Days Attending:*

Full weekMonday - Trip Day BoysTuesday - Trip Day Girls and Yr K BoysWednesday - Trip Day BoysThursday - Trip Day Girls and Yr K BoysFriday - Boys & Girls incursion day with Coach Al

Child 2 Full Name

First Name Last Name

Child 2 Birth Date

Month Day Year

Child 2 Gender

Child 2 Days Attending:

Full weekMonday - Trip Day BoysTuesday - Trip Day Girls and Yr K BoysWednesday - Trip Day BoysThursday - Trip Day Girls and Yr K BoysFriday - Boys & Girls incursion day with Coach Al

Child 3 Full Name

First Name Last Name

Child 3 Birth Date

Month Day Year

Child 3 Gender

Child 3 Days Attending:

Full weekMonday - Trip Day BoysTuesday - Trip Day Girls and Yr K BoysWednesday - Trip Day BoysThursday - Trip Day Girls and Yr K BoysFriday - Boys & Girls incursion day with Coach Al

Child 4 Full Name

First Name Last Name

Child 4 Birth Date

Month Day Year

Child 4 Gender

Child 4 Days Attending:

Full weekMonday - Trip Day BoysTuesday - Trip Day Girls and Yr K BoysWednesday - Trip Day BoysThursday - Trip Day Girls and Yr K BoysFriday - Boys & Girls incursion day with Coach Al

Parent / Gaurdian Name*

First Name Last Name

E-mail*

I would like to receive news and updates by email

Phone Number*

Area Code Phone Number

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Emergency contact*

First Name Last Name

Relationship to child*

Phone Number*

Area Code Phone Number

Medical information:*

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*

I acknowledge that a $10 fee per camper will be charged for a brand new camp t-shirt, (not retained from winter camp 2024) which is the only shirt allowed, and additional shirts can be purchased for $10 each.*

Yes

Throughout the camp, we will provide lunch, snacks and drinks to keep our campers energized and hydrated.

Payment Information

Cost Structure: The fee per child is $320 for the full week or $80 per day.
Sibling Discount: A 5% discount is available for second and subsequent children, applied after the first child is enrolled at the full rate.
Special Sponsorship (Subject to availability):
Subject to and thanks to the generosity of Jewish House and JCA, we are pleased to offer the following support:
- Children who were present at the Bondi Beach Chanukah event attack on 14 December 2025 will be fully sponsored
- Children who attended other Sydney based Chanukah events on 14 December 2025 will receive a 50% sponsorship
Payment Policy: Full payment is required prior to the commencement of camp to secure your child’s place.
Cancellation & Absence Fee: A $100 fee will be charged for any cancellations or absences, to cover pre-arranged staffing and resources.

Please ensure timely payment to confirm your child’s participation.

Please calculate the total amount owing for camp. The rates are $80 per day or $320 per week per child. If you are using a Creative Kids Voucher, an additional $50 per child can be deducted—subject to the voucher being valid and successfully processed. If your child(ren) qualify for a sponsorship please add your card details and put $0 for total amount or calculate 50% of the total amount. Thank you**

$ AUD

Click to edit

My Children were present at the Bondi Beach Chanukah event attack on 14 December 2025 and qualify for a full sponsorship at the 12-16 January 2026 Gan Izzy Day CampMy Children were present at a Sydney based Chanukah events on 14 December 2025 and qualify for a 50% sponsorship at the 12-16 January 2026 Gan Izzy Day Camp

Total

$0.00 AUD

Payment*

Credit Card

We accept Visa, MasterCard, American Express
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

By enrolling my child in camp, I agree to and accept all Chabad Youth NSW policies on their behalf, including the behaviour policy, available at cyn.org.au/cgipolicies.*

I agree

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

I hereby acknowledge and accept that Sydney Talmudical College Association, Lubavitch Jewish Centre, Chabad Youth NSW, Dover Heights Shule, and Kesser Torah College, including their employees and agents, bear no responsibility for any harm or injury that may befall my child during their participation in camp.

In the event that my child becomes ill or injured during the course of camp, I authorise the above-mentioned organisations to take all necessary steps to ensure my child receives appropriate medical attention. I accept full responsibility for any medical costs incurred as a result.

I understand that my child will be participating in activities both on and off the camp premises, and I give permission for my child to take part in all such activities. I also authorise the camp to sign activity and excursion waivers on my behalf, where required.

Furthermore, I agree to indemnify Sydney Talmudical College Association, Lubavitch Jewish Centre, Chabad Youth NSW, Dover Heights Shule, Kesser Torah College, and their employees and agents, against any demands, claims, actions, or legal proceedings brought by any party, arising from or related to any act or omission by my child during the camp.

Parent / Guardian*

First Name Last Name

Date*

Month Day Year

at Hour Minutes

For more information please call Elimelech on 0433 549 190 or Avremi on 0404 032 166

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