Fed Camp Sign Up – Bnei Akiva Australia

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Step 1 of 8

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To apply for a Subsidy/Payment plan, please Click Here to fill out the following form
Please Note: If you are from Sydney and you would like your flight to be included in price and be on the group flight you must sign up by November 18, after that time you will be expected to make your own way to camp
Parent's Name*
First Last
Parent's Mobile Number*
Parent's Email*
Enter Email Confirm Email
City*
- Melbourne
- Sydney
Please note the time to sign up for group flight from Sydney has elapsed. Please still select the state your child is from but bare in mind if you are from Sydney you will need to arrange your own way to and from Melbourne
How many kids are you signing up?*
- 1
- 2
- 3
- 4

Save and Continue Later

First Child
Child's Name*
First Last
Gender*
- Male
- Female
Date of Birth*
Date Format: DD dash MM dash YYYY
Year Level*
- 7
- 8
- 9
- 10
- 11
Will your child be travelling with the Bnei Akiva flight from Sydney to Melbourne?*
- Yes
- No
Please specify your alternative means of getting to camp*
Will your child be travelling with the Bnei Akiva flight from Melbourne to Sydney?*
- Yes
- No
Please specify your alternative means of getting to camp*
Medical Information
Please note: If you or your child does not hand your medication in to the medics and does not let us know the requirements we will not be responsible for the administration of it
Does your child have any allergies or intolerances, any previous or current medical conditions, psychological or mental health conditions or take medication regularly?*
- Yes
- No
Please fill out medical form here
Confirm you have filled out the Medical Google Form*
- Yes
Date of Last Tetanus Vaccination/Booster*
Date Format: DD slash MM slash YYYY
Anything else we need to know?
Camp can be one of the most enjoyable experiences for your child. However, it also may be challenging to be away from home and in a new environment. We aim to provide the best experience for your child, and any information you can provide helps us ensure your child's wellbeing.
Do you give authorisation for First Aid and Mental Health Treatment to be given to your child?*
- Yes
Do you provide consent for the qualified Bnei Akiva Medic (senior first aid qualifications) to administer general medications (e.g. Panadol, Aspirin, Ventolin) if necessary and/or specific medications which you have supplied for camp in accordance with your instructions?*
(if you have any issue in providing consent, please contact the Rosh Machane to discuss before proceeding)
- Yes
No Lice*
I accept that I will not send my child to camp if they are found to have lice. I understand that if they are found to have lice on camp they may be sent home.
- I Accept
Release & Disclaimer Form Upload
Signed Release & Disclaimer Form*
Child Safety Regulations dictate that all Release & Disclaimer Forms must now be digitally uploaded.

Please open this page, and then print, sign, scan and upload the Release & Disclaimer Form to the box below.

If you don't have access to a printer at this moment, you may click 'Save & Continue Later' below.

If you have any issues with this please contact:

Rosh Machane: Noah Epstein – camp@bneiakiva.com.au – 0457 872 843
Covid Vaccination Certificate Upload
Please upload your Official vaccination certificate
Upload your Official Certificate below*
Every Chanich/a must be vaccinated to Attend Bnei Akiva Fed Camp, if you have an exemption please be in touch with Rosh Machane: Noah Epstein – camp@bneiakiva.com.au – 0457 872 843

Save and Continue Later

Second Child
Child's Name*
First Last
Gender*
- Male
- Female
Date of Birth*
Date Format: DD dash MM dash YYYY
Year Level*
- 7
- 8
- 9
- 10
- 11
Will your child be travelling with the Bnei Akiva flight from Sydney to Melbourne?*
- Yes
- No
Please specify your alternative means of getting to camp*
Will your child be travelling with the Bnei Akiva flight from Melbourne to Sydney?*
- Yes
- No
Please specify your alternative means of getting to camp*
Medical Information
Please note: If you or your child does not hand your medication in to the medics and does not let us know the requirements we will not be responsible for the administration of it
Does your child have any allergies or intolerances, any previous or current medical conditions, psychological or mental health conditions or take medication regularly?*
- Yes
- No
Please fill out medical form here
Confirm you have filled out the Medical Google Form*
- Yes
Date of Last Tetanus Vaccination/Booster*
Date Format: DD slash MM slash YYYY
Anything else we need to know?
Camp can be one of the most enjoyable experiences for your child. However, it also may be challenging to be away from home and in a new environment. We aim to provide the best experience for your child, and any information you can provide helps us ensure your child's wellbeing.
Do you give authorisation for First Aid and Mental Health Treatment to be given to your child?*
- Yes
Do you provide consent for the qualified Bnei Akiva Medic (senior first aid qualifications) to administer general medications (e.g. Panadol, Aspirin, Ventolin) if necessary and/or specific medications which you have supplied for camp in accordance with your instructions?*
(if you have any issue in providing consent, please contact the Rosh Machane to discuss before proceeding)
- Yes
No Lice*
I accept that I will not send my child to camp if they are found to have lice. I understand that if they are found to have lice on camp they may be sent home.
- I Accept
Release & Disclaimer Form Upload
Signed Release & Disclaimer Form*
Child Safety Regulations dictate that all Release & Disclaimer Forms must now be digitally uploaded.

Please open this page, and then print, sign, scan and upload the Release & Disclaimer Form to the box below.

If you don't have access to a printer at this moment, you may click 'Save & Continue Later' below.

If you have any issues with this please contact:

Rosh Machane: Noah Epstein – camp@bneiakiva.com.au – 0457 872 843
Covid Vaccination Certificate Upload
Please upload your Official vaccination certificate
Upload your Official Certificate below*
Every Chanich/a must be vaccinated to Attend Bnei Akiva Fed Camp, if you have an exemption please be in touch with Rosh Machane: Noah Epstein – camp@bneiakiva.com.au – 0457 872 843

Save and Continue Later

Third Child
Child's Name*
First Last
Gender*
- Male
- Female
Date of Birth*
Date Format: DD dash MM dash YYYY
Year Level*
- 7
- 8
- 9
- 10
- 11
Will your child be travelling with the Bnei Akiva flight from Sydney to Melbourne?*
- Yes
- No
Please specify your alternative means of getting to camp*
Will your child be travelling with the Bnei Akiva flight from Melbourne to Sydney?*
- Yes
- No
Please specify your alternative means of getting to camp*
Medical Information
Please note: If you or your child does not hand your medication in to the medics and does not let us know the requirements we will not be responsible for the administration of it
Does your child have any allergies or intolerances, any previous or current medical conditions, psychological or mental health conditions or take medication regularly?*
- Yes
- No
Please fill out medical form here
Confirm you have filled out the Medical Google Form*
- Yes
Date of Last Tetanus Vaccination/Booster*
Date Format: DD slash MM slash YYYY
Anything else we need to know?
Camp can be one of the most enjoyable experiences for your child. However, it also may be challenging to be away from home and in a new environment. We aim to provide the best experience for your child, and any information you can provide helps us ensure your child's wellbeing.
Do you give authorisation for First Aid and Mental Health Treatment to be given to your child?*
- Yes
Do you provide consent for the qualified Bnei Akiva Medic (senior first aid qualifications) to administer general medications (e.g. Panadol, Aspirin, Ventolin) if necessary and/or specific medications which you have supplied for camp in accordance with your instructions?*
(if you have any issue in providing consent, please contact the Rosh Machane to discuss before proceeding)
- Yes
No Lice*
I accept that I will not send my child to camp if they are found to have lice. I understand that if they are found to have lice on camp they may be sent home.
- I Accept
Release & Disclaimer Form Upload
Signed Release & Disclaimer Form*
Child Safety Regulations dictate that all Release & Disclaimer Forms must now be digitally uploaded.

Please open this page, and then print, sign, scan and upload the Release & Disclaimer Form to the box below.

If you don't have access to a printer at this moment, you may click 'Save & Continue Later' below.

If you have any issues with this please contact:

Rosh Machane: Noah Epstein – camp@bneiakiva.com.au – 0457 872 843
Covid Vaccination Certificate Upload
Please upload your Official vaccination certificate
Upload your Official Certificate below*
Every Chanich/a must be vaccinated to Attend Bnei Akiva Fed Camp, if you have an exemption please be in touch with Rosh Machane: Noah Epstein – camp@bneiakiva.com.au – 0457 872 843

Save and Continue Later

Fourth Child
Child's Name*
First Last
Gender*
- Male
- Female
Date of Birth*
Date Format: DD dash MM dash YYYY
Year Level*
- 7
- 8
- 9
- 10
- 11
Will your child be travelling with the Bnei Akiva flight from Sydney to Melbourne?*
- Yes
- No
Please specify your alternative means of getting to camp*
Will your child be travelling with the Bnei Akiva flight from Melbourne to Sydney?*
- Yes
- No
Please specify your alternative means of getting to camp*
Medical Information
Please note: If you or your child does not hand your medication in to the medics and does not let us know the requirements we will not be responsible for the administration of it
Does your child have any allergies or intolerances, any previous or current medical conditions, psychological or mental health conditions or take medication regularly?*
- Yes
- No
Please fill out medical form here
Confirm you have filled out the Medical Google Form*
- Yes
Date of Last Tetanus Vaccination/Booster*
Date Format: DD slash MM slash YYYY
Anything else we need to know?
Camp can be one of the most enjoyable experiences for your child. However, it also may be challenging to be away from home and in a new environment. We aim to provide the best experience for your child, and any information you can provide helps us ensure your child's wellbeing.
Do you give authorisation for First Aid and Mental Health Treatment to be given to your child?*
- Yes
Do you provide consent for the qualified Bnei Akiva Medic (senior first aid qualifications) to administer general medications (e.g. Panadol, Aspirin, Ventolin) if necessary and/or specific medications which you have supplied for camp in accordance with your instructions?*
(if you have any issue in providing consent, please contact the Rosh Machane to discuss before proceeding)
- Yes
No Lice*
I accept that I will not send my child to camp if they are found to have lice. I understand that if they are found to have lice on camp they may be sent home.
- I Accept
Release & Disclaimer Form Upload
Signed Release & Disclaimer Form*
Child Safety Regulations dictate that all Release & Disclaimer Forms must now be digitally uploaded.

Please open this page, and then print, sign, scan and upload the Release & Disclaimer Form to the box below.

If you don't have access to a printer at this moment, you may click 'Save & Continue Later' below.

If you have any issues with this please contact:

Rosh Machane: Noah Epstein – camp@bneiakiva.com.au – 0457 872 843
Covid Vaccination Certificate Upload
Please upload your Official vaccination certificate
Upload your Official Certificate below*
Every Chanich/a must be vaccinated to Attend Bnei Akiva Fed Camp, if you have an exemption please be in touch with Rosh Machane: Noah Epstein – camp@bneiakiva.com.au – 0457 872 843

Save and Continue Later

Medical Information
Family Doctor
Family Doctor Contact
Family Psychologist
Family Psychologist Contact
Medicare Number*
Positions on Card*
Private Health Fund (Name)
Private Health number
Position(s) on card
Ambulance cover

Save and Continue Later

Payment
Sydney Sign up no group flight*
Price: $ 0.00
Sydney Sign up no group flight*
Price: $ 0.00
Sydney Sign up no group flight*
Price: $ 0.00
Sydney Sign up no group flight*
Price: $ 0.00
Tuckshop Account
Would you like for your child(ren) to have a Tuckshop Account on camp? If so, please type in the amount that you would like on the account. If not, please leave blank.
Donation
In our incredible Australian Jewish community, there are unfortunately many families who are unable to afford the cost of camp.
Bnei Akiva loves to help these kids come on camp, aiding them in their personal growth and Jewish development, and we would do anything to help them experience what we have to offer. Yet, this comes at a significant financial burden for Bnei Akiva.
We ask that you consider donating any amount towards a fund that accommodates those who are less fortunate, therefore giving Bnei Akiva the capacity to further its goals. We thank you for your generosity.
Total
$ 0.00

Save and Continue Later

Credit Card*

MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

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Unfortunately, Fed Camp 2021 registration is currently closed.

For any further queries, please contact:
Rosh Machane – Noah Epstein – camp@bneiakiva.com.au – 0457 872 843

Our Sniffim are on the lands of the Kulin Nation, The Noongar Nation and the Eora Nation. Bnei Akiva acknowledges the Traditional Owners of country throughout Australia and recognises their continuing connection to land, waters and community.

As a Religious Zionist Modern-Orthodox Youth movement, with values ingrained in our connection to the land of Israel and our religion, Judaism, we pay our respects to Aboriginal and Torres Strait Islander cultures, and Elders past and present.

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Sign Up

Step 1 of 8

First Child

Medical Information

Release & Disclaimer Form Upload

Covid Vaccination Certificate Upload

Second Child

Medical Information

Release & Disclaimer Form Upload

Covid Vaccination Certificate Upload

Third Child

Medical Information

Release & Disclaimer Form Upload

Covid Vaccination Certificate Upload

Fourth Child

Medical Information

Release & Disclaimer Form Upload

Covid Vaccination Certificate Upload

Medical Information

Payment