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)

As a Parent/Guardian, I understand the risk involved in camp activities. I am aware that the camp participants may use public or private transport during the course of camp activities. I indemnify HSS from any claims arising out of mishap/accident/injury during the camp stay in or out of the campsite. I give permission for my child to be photographed or videoed during Children's Camp activities and for this media to be used for daily reports and promotional purposes by HSS.

"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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Melbourne

Hindu Swayamsevaka Sangh, Australia - Melbourne Chapter

Children’s Camp Melbourne Registration Form 2019

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