Day Camp Registration

PLEASE NOTE: Due to the current situation, the activities / excursions may change at any time and without prior notice. No refunds will be given in the event that there are changes to the schedule.
Monday & Thursday are now sold out. You may select these days and will be put on a waiting list in the event of a cancellation (you will not be charged until confired).
1. Child/ren’s Information
Child 1*
First NameLast Name
Birth Date*
DayMonthYear
Gender*
MaleFemale
PLEASE SELECT DAYS ($65 a day / $300 a week*
Mon 6th - SOLD OUTTue 7thWed 8thThu 9th - SOLD OUTFri 10thFull Week
Please select an option for Tuesday.
Ice SkatingKids World
Child 2
First NameLast Name
Birth Date
DayMonthYear
Gender
MaleFemale
PLEASE SELECT DAYS ($58.50 a day / $270 a week10% discount applies only to siblings
Mon 6thTue 7thWed 8thThu 9thFri 10thFull Week
Please select an option for Tuesday
Ice SkatingKids World
Child 3
First NameLast Name
Birth Date
DayMonthYear
Gender
MaleFemale
PLEASE SELECT DAYS ($58.50 a day / $270 a week10% discount applies only to siblings
Mon 6thTue 7thWed 8thThu 9thFri 10thFull Week
Please select an option for Tuesday.
Ice SkatingKids World
Child 4
First NameLast Name
Birth Date
DayMonthYear
Gender
MaleFemale
PLEASE SELECT DAYS ($58.50 a day / $270 a week10% discount applies only to siblings
Mon 6thTue 7thWed 8thThu 9thFri 10thFull Week
Please select an option for Tuesday.
Ice SkatingKids World
2. Parent information
Parent/ Guardian 1*
First NameLast Name
Mobile Number*
Home Phone
E-mail*Primary email
I would like to receive news and updates by email

Address*

Street Address
Street Address Line 2
City	State
Postcode	Country

Parent / Guardian 2
First NameLast Name
Mobile Phone
E-mail
How did you hear about us?
3. Emergency Information
Emergency Contact*
First NameLast Name
Phone Number*
Relationship*
4. Payment Information
It is a safety requirement that all children wear DHS camp tshirts on all excursions. There is a $10 fee for the shirt. (Shirt can be used for future DHS camps).
If you have our orange camp shirt from previous years, you may wear it, otherwise you will need to purchase one.
Please add in the comments below what sizes you require.
I require camp shirts for my child/ren
Child 1Child 2Child 3Child 4
I acknowledge that I have read and agree to the Conditions of Enrolment (found below).
I am signing up my child for camp. I give my child permission to attend all trips and receive medical care in the case of emergency, G-d forbid. I give Dover Heights Shule permission to photograph and videotape my children and use the photos and videos (without their names) for whatever the camp sees fit.
CLICK HERE FOR CONDITIONS OF ENROLMENT
CLICK HERE TO VIEW OUR PRIVACY POLICY
COVID-19 Risk Factors
My child has not returned from overseas in the last 14 days
My child has not at any time returned a positive test for the COVID-19 virus
My child is not awaiting the resut of a COVID-19 test
My child has not during the last 14 days had a persistent cough, sore throat, sneezing, blocked or runny nose, or temperature exceeding 37.5 degrees Celsius, or experienced any loss of smell or taste.

To the best of my knowledge, my child has not been in physical proximity (1.5 metres or less) to anyone who:
returned from overseas in the last 14 days: or
at any time returned a positive test for the COVID-19 virus; or
during the last 14 days had a persistent cough, sore throat, sneezing, blocked or runny nose, or temperature exceeding 37.5 degrees Celsius, or experienced any loss of smell or taste: or
is awaiting the result of a COVID-19 test
Agreement*
I agree to the above Conditions of Enrolment and COVID-19 Risk Factors
Please note: The 10% discount is only for additional SIBLINGS. If multible children, who are not siblings, are booked on the same form, the amount calculated below will be manually adjusted accordingly.
TOTAL
$0.00 AUD

Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

General comments
Should be Empty:

This page uses TLS encryption to keep your data secure.

1. Child/ren’s Information

2. Parent information

3. Emergency Information

4. Payment Information