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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