Children’s Camp Melbourne Registration Form 2019

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 under
Bank Account Name : HSS (VIC) –
Bank : NAB
BSB No. : 083175
Account No. : 117264894
Description - Ruchika YEAR 9 OR Kaushik YEAR 4

EFT Reference Field (required)

 

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