Printed from csparks.org.au

Tuition form

Tuition form

Government Childcare Benefit and Childcare Rebate (of up to 50%) as well as subsidies are available. To ensure you receive your eligible benefit, please make sure to include the Centrelink number and Date of Birth of both the student and the parent when applying online. For both types of Government assistance, you will need to ensure your child is registered for Yeshivah Beth Rivkah Out of School Hours Care (Vacation Care).
IMPORTANT: If your child has not attended any overnight, day camps or clubs with Chabad Sparks before please follow the link and enrol at chabadyouth.hubworks.com.au
We also require a copy of your childs immunisation record. This is a mandatory requirement before acceptance into any clubs.

For further information regarding government subsidies please contact Naomi or Ellie on 9528 8395 or email admin@chabadyouth.org. Please note: It is the responsibility of the parent to ensure we have the correct information in order to process your benefits. Your credit card will not be charged until after the benefits have been calculated.

Registration Information

Please take care when filling out the form that all information is correct. Incorrect information may result in your child not receiving a place in the clubs.

General Information:

Session Attending:

Emergency Contact (other than Parents)

Medical Information

IMPORTANT: WE REQUIRE A COPY OF YOUR CHILD'S IMMUNISATION RECORD PRIOR TO ACCEPTANCE INTO CLUBS.

Please include all reasons and dosages. If not applicable you must enter the words 'Not Applicable'

Please include all reactions. Any allergies included will require allergy action plans to be provided. If not applicable you must enter the words 'Not Applicable'

If your child has a medical condition you are required to submit a medical condition management plan by email (admin@chabadyouth.org). If not applicable you must enter the words 'Not Applicable'

OSHC AUTHORISATION FORM

Collecting your child from the Yeshivah Beth Rivkah OSHC premises

We recommend all children are to be picked up by a Parent or an Authorised Nominee directly from the Yeshivah Beth Rivkah OSHC premises. An Authorised Nominee means a person who has been given permission by a parent or family member to collect the child from the education and care service.

If you would like for your child to walk home by themselves, or to a location to be picked up, in accordance with Regulation 99(4)(b), they will need to be signed out by a Yeshivah Beth Rivkah OSHC staff member and/or volunteer before exiting the premises.

Please tick all that apply
Authorised Nominee #1
Authorised Nominee #2
Authorised Nominee #3
I hereby authorise Chabad Sparks OSHC staff and/or volunteers to photograph my child and use the photographs for any Chabad Sparks OSHC for the following purposes:

PAYMENT INFORMATION:

Please note payment MUST be recieved BEFORE your child attends any clubs.

Government subsidies are available. Payment will be processed after childcare deductions have been calculated.If you choose to pay by another method leave the credit card form blank, however your child's place will not be confirmed until your payment has been received.(There is a 3% surcharge for American Express payments.)


Before you submit:

1. Have you answered all the questions in full?

2. Does your child have a hubworks profile? If you are unsure, check with the office.

3. Have you sent your child's immunisation record through, they will not be accepted into any clubs without it.

Sign on the line with your mouse or finger