Children Camp / Parivar Camp – 5th to 8th October – 2017 REGISTRATION FORM

    Surname (required)

    First Name (required)

    School Year (required)

    Address


    No. & Street (required)

    Town / City (required)

    Country (required)

    Post Code (required)

    Date of Birth (required)

    Telephone (required)

    Mobile (required)

    Your Email (required)

    Gender (required)

    MaleFemale

    Please state any essential medical/dietary requirements or ALLERGIES

    Med. Card No

    Parents Name (required)

    Emergency Contact Number (required)

    Parents Email ID (required)


    "PAYMENT - Please make EFT (electronic fund transfer) using below bank links and paste EFT receipt number in below field"

    https://www.commbank.com.au/

    http://www.anz.com.au/personal/

    http://www.nab.com.au/

    http://www.westpac.com.au/

    http://www.stgeorge.com.au/

    http://www.bankofmelbourne.com.au/

    The Bank details for an online transfer are as below

    Bank Account Name : HSS (VIC) –

    Bank : NAB

    BSB No. : 083175

    Account No. : 117264894


    EFT Reference Field (required)

    Event Calendar

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