Fed Camp 2023 Last Minute Signup – Bnei Akiva Australia

Fed Camp Sign-up Form 2023

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This form is currently not accepting new signups

If you have any questions please speak with the Rosh Machane at camp@bneiakiva.com.au. If you have been provided a code to continue signup, please enter it here.

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Signup Code

To apply for a Subsidy/Payment plan, please click here to fill out the following form

Please Note: If you are from Sydney or Perth and would like your child to be included in the group flight arranged with FBI travel agency, you must register via their online portal by the 25th of October. FBI can also be contacted to organise individual flight arrangements at groups@fbitravel.com.au. If you miss this cut-off date, you are expected to make your own way to camp.

Parent's Name*

First Last

Parent's Mobile Number*

Parent's Email*

Enter Email Confirm Email

Subsidies

Please note you will be required to provide a subsidy code to complete the form.

I have been granted a subsidised camp fee

Place of residence*

Melbourne

Sydney

Perth

New Zealand

How many kids are you signing up?*

Please note: A discount of $50.00 applies for each additional child if you register more than one.

First Child

Child's Name*

First Last

Gender*

Male

Female

Date of Birth*

Year Level*

Shirt Size*

Will your child be travelling with the Bnei Akiva flight to Melbourne?*

Yes

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

Please fill out medical form here

Confirm you have filled out the Medical Google Form*

Yes

Does your child have any non-allergenic dietary requirements?*

For allergies, intolerances etc., please ensure that you have clicked yes to that question above and complete the Medical Google Form.

Yes, vegetarian

Yes, vegan

Yes, pescatarian

Yes, Chalav Yisrael

Other

Date of Last Tetanus Vaccination/Booster*

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 qualified Bnei Akiva staff and medic, both with senior first aid qualifications, to administer first aid and over the counter medications*

(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 (Digital Signing)

This form no longer needs to printed, signed and uploaded.

Please, simply click here to view the Release and Disclaimer Form and fill in the required fields below.

Consent*

We the undersigned Participant and parent/guardian of the Participant confirm that we have read and understood the terms of the attached Release and Disclaimer and agree to be bound by all such terms.

Child Name*

Child Signature*

Date*

Parent Name*

Parent Signature*

Date*

Second Child

Child's Name*

First Last

Gender*

Male

Female

Date of Birth*

Year Level*

Shirt Size*

Will your child be travelling with the Bnei Akiva flight to Melbourne?*

Yes

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

Please fill out medical form here

Confirm you have filled out the Medical Google Form*

Yes

Does your child have any non-allergenic dietary requirements?*

For allergies, intolerances etc., please ensure that you have clicked yes to that question above and complete the Medical Google Form.

Yes, vegetarian

Yes, vegan

Yes, pescatarian

Yes, Chalav Yisrael

Other

Date of Last Tetanus Vaccination/Booster*

Anything else we need to know?

Do you give authorisation for First Aid and Mental Health Treatment to be given to your child?*

Yes

Do you provide consent for qualified Bnei Akiva staff and medic, both with senior first aid qualifications, to administer first aid and over the counter medications*

(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 (Digital Signing)

This form no longer needs to printed, signed and uploaded.

Please, simply click here to view the Release and Disclaimer Form and fill in the required fields below.

Consent*

Child Name*

Child Signature*

Date*

Parent Name*

Parent Signature*

Date*

Third Child

Child's Name*

First Last

Gender*

Male

Female

Date of Birth*

Year Level*

Shirt Size*

Will your child be travelling with the Bnei Akiva flight to Melbourne?*

Yes

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

Please fill out medical form here

Confirm you have filled out the Medical Google Form*

Yes

Does your child have any non-allergenic dietary requirements?*

For allergies, intolerances etc., please ensure that you have clicked yes to that question above and complete the Medical Google Form.

Yes, vegetarian

Yes, vegan

Yes, pescatarian

Yes, Chalav Yisrael

Other

Date of Last Tetanus Vaccination/Booster*

Anything else we need to know?

Do you give authorisation for First Aid and Mental Health Treatment to be given to your child?*

Yes

Do you provide consent for qualified Bnei Akiva staff and medic, both with senior first aid qualifications, to administer first aid and over the counter medications*

(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 (Digital Signing)

This form no longer needs to printed, signed and uploaded.

Please, simply click here to view the Release and Disclaimer Form and fill in the required fields below.

Consent*

Child Name*

Child Signature*

Date*

Parent Name*

Parent Signature*

Date*

Fourth Child

Child's Name*

First Last

Gender*

Male

Female

Date of Birth*

Year Level*

Shirt Size*

Will your child be travelling with the Bnei Akiva flight to Melbourne?*

Yes

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

Please fill out medical form here

Confirm you have filled out the Medical Google Form*

Yes

Does your child have any non-allergenic dietary requirements?*

For allergies, intolerances etc., please ensure that you have clicked yes to that question above and complete the Medical Google Form.

Yes, vegetarian

Yes, vegan

Yes, pescatarian

Yes, Chalav Yisrael

Other

Date of Last Tetanus Vaccination/Booster*

Anything else we need to know?

Do you give authorisation for First Aid and Mental Health Treatment to be given to your child?*

Yes

Do you provide consent for qualified Bnei Akiva staff and medic, both with senior first aid qualifications, to administer first aid and over the counter medications*

(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 (Digital Signing)

This form no longer needs to printed, signed and uploaded.

Please, simply click here to view the Release and Disclaimer Form and fill in the required fields below.

Consent*

Child Name*

Child Signature*

Date*

DD slash MM slash YYYY

Parent Name*

Parent Signature*

Date*

DD slash MM slash YYYY

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

Emergency Contact

Name*

Relationship to participant/s*

Contact Number*

As per Clause 8 of the Release & Disclaimer Form, we request that you provide the contact details of an Alternative Contact who can be contacted and make decisions on the Participant's behalf in the event that parents/guardians are unable to be reached.

Alternative Contact Full Name*

Relationship to participant/s*

Contact Number*

Camp Cost

Price:

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.

Please note, we will not be accepting cash or card payments at the tuckshop on camp. If you would like to allocate funds for your children to spend, please enter that value here and the total will be included in your payment at the end of this form.

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.

The subsidy payment process is not active yet. Please press save and continue later to save your progress. This will allow you to return when subsidy payments are active.
Subsidy Code*

My camp payment is:*

One time payment

Pay in installments
Subsidised Camp Cost*

Payment plan*
Initial Amount Initial Date
Recurring Amount Start Date End Date
Interval Type

Hidden
DonationInternal

Payment
Total

Please note that the total may not appear here if you have applied a subsidy.
Card Details*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date Month Year
Security Code Cardholder Name