Gan Yisroel Winter Overnight Camps form July 2025

Camper 1 Full Name*

1 First Name 1 Last Name

Camper 1 Camp Attending*

Camper 1 Birth Date*

1 Month 1 Day 1 Year

Camper 1 School Yr*

Camper 2 Full Name

2 First Name 2 Last Name

Camper 2 camp attending

Camper 2 Birth Date

2 Month 2 Day 2 Year

Camper 2 School Yr

Camper 3 Full Name

3 First Name 3 Last Name

Camper 3 camp attending

Camper 3 Birth Date

3 Month 3 Day 3 Year

Camper 3 School Yr

Parent / Guardian Name*

Prefix First Name Last Name

Parent / Guardian Address*

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

E-mail*

I would like to receive news and updates by email

Phone Number*

Area Code Phone Number

Emergency contact*

First Name Last Name

Relationship to child*

Phone Number*

Area Code Phone Number

Medicare Information:*

Expiry Date*

Private hospital insurance fund and number

Full list of all current medications and dosages (Write N/A if not relevant)*

Food Allergies (If none, please write N/A)*

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*

Consent to Chabad Youth NSW capturing and using photos/videos of my child/ren for marketing and promotional purposes, including social media, websites, and printed materials.*

YesNo

I/We give permission for this child to*

Participate in outings to onsite activities such as mountain biking, hiking and othersHave SPF50+ sunscreen applied prior to sun exposureHave Band-Aids or sticking plasters applied when necessaryBe given Panadol or Nurofen if and when necessary without a phone call (A call will usually be placed prior to parents)

I/We agree that our child/ren will obey, understand and accept: *

The NO alcohol or drug policyNo smoking or vaping during camp timesNo phone policy during camp (Phones will be provided to call home before Shabbos)Behavioural Policy (please refer to the Policies and Procedures section for the full policy details)

Nutritious meals, snacks, and drinks will be provided throughout the camp.

Please note: Participants are required to bring their own lunch on the first day (arrival day). The first camp-provided meal will be dinner on 7 July.

Chabad Youth NSW – Camp Payment & Cancellation Policy

Payment Terms
All camp fees must be paid in full by 05/07/2026. If only a deposit has been paid, the remaining balance will be automatically charged to your nominated card.
Subsidy Applications
To apply for financial assistance through the Gan Yisroel Subsidy Fund, please click HERE. (Subsidies Strictly close 9am on 22 June 2026)
Full Payment Requirement
Full payment must be received prior to the commencement of camp.
General Refund Policy
There are no refunds for cancellations or absences.
Medical Cancellations
Cancellations due to medical reasons must be supported by a valid doctor’s certificate. In such cases, 50% of the camp fee will be charged.
Please note: NSW Active and Creative Kids Vouchers are non-refundable.
During Camp
No refunds will be provided once a camper has arrived at camp. If a camper leaves early for any reason, camp fees will not be refunded or discounted.
Emergency Evacuation
In the event of a campsite evacuation due to circumstances such as a natural disaster (e.g. bushfire), no refunds will be provided for the unused portion of the camp.
Camp Cancellation by Chabad Youth NSW
If Chabad Youth NSW is unable to run the camp, no fees will be charged to parents.
Early Departures
Any early departures must be arranged in writing with the Chabad Youth NSW office or Camp Director prior to the commencement of camp.

Chabad Youth NSW – Payment Options

Early Bird Rate: $750 per child (for registrations completed and paid before 22 June 2026)
Full Rate: $850 per child (for registrations made from 23 June 2026 onwards)

A minimum deposit of $150 is required at the time of registration to secure your child’s place.

All of the above rates are significantly subsidised by Chabad Youth NSW, with the true cost of camp exceeding $1,250 per camper.

Select your payment amount based on the above *

Total

$0.00 AUD

Yes, I'd like to donate the cost of processing this transaction by adding 2%

Payment*

Credit Card

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

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

I hereby accept that Sydney Talmudical College Association, Lubavitch Jewish Centre, Chabad Youth NSW, Chabad North Shore 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, Lubavitch Jewish Centre, Chabad Youth NSW, Chabad North Shore, 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*

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 or email [email protected]

Gan Yisroel Winter Overnight Camps form July 2025

Gan Yisroel Winter Overnight Camps 2026

Chabad Youth NSW – Camp Payment & Cancellation Policy

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