Printed from Hamerkazshelanu.com.au
  • KEFKIDZ HOLIDAY PROGRAM ENROLMENT FORM

    SPRING 2017
  • To ensure your place and discounted fee, this form must be received by 4.9.2017 with full payment details.

  • CHILD'S PERSONAL DETAILS

  • MEDICAL AND SPECIAL NEEDS

  • Medical Conditions:

  • (2) A Risk Minimisation Plan must  be returned to our office (youth@hs.org.au) no later than a week prior to the program. Note: Medicine is to be handed into our office daily clearly labeled with instructions

  • Dietary Requirements:

  • (2) Risk Minimisation Plan must  be returned to our office (youth@hs.org.au) no later than a week prior to the program.

  • Child Special Needs/ Difficulties (Disability):

  • (2) A Special Needs Communication Form must be returned to our office (youth@hs.org.au) no later than a week prior to the program.

  • Personal Aid: 

    We welcome children with additional needs and offer every child a supported and inter-graded environment. We can offer your child a personal aid or additional care (at no extra cost to you). Help us be prepared to offer your child the best care and safety, by keeping us fully informed. Failure to do so may affect the safety of our children and your child's attendance. 

  • To be accepted, your child must  alsobe registered (for funding purposes) with JCAAA, visit: www.portphillip.vic.gov.au/jcaaa.htm

  • PARENT DETAILS

  • MOTHER 

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