Camp Gan Welfare Subsidy

Camp Gan Welfare - Subsidy Form
At Chabad Youth, we believe that no child should miss out due to financial hardship.

Please note, that Camp Gan Welfare subsidies are only available to children who are not eligible for the Australian Government's Child Care Subsidy (CCS).

To find out more about Child Care Subsidy (CCS), including eligibility requirements and how to claim, please click here.

Please note that the office will be in contact, once your form has been processed.

SUBSIDIES CLOSE FRIDAY 29th MAY at 9am
*

I have registered my children for camp and understand that subsidy forms will not be accepted if an enrolment form has not been received.
Family Name*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mobile Phone*
E-mail*
Parent 1 Information.
Parent 1 Full Name*
First Name Last Name
Parent 1 Occupation*
Parent 1 Weekly Gross Income*
Parent 1 Weekly Centrelink Payment*
Parent 2 Information
Please write "n/a" if not applicable.
Parent 2 Full Name*
First Name Last Name
Parent 2 Occupation*
Parent 2 Weekly Gross Income*
Parent 2 Weekly Centrelink Payment*
Information about your Children
Number of School Aged Children*
Ages of School Aged Children*
Information about your children attending camp who are not eligible for childcare subsidy.
Child 1
Child 1 Full Name*
First Name Last Name
Child 1 Full Camp Fee*
Child 1 Nominated Parent Contribution*
Child 2
Child 2 Full Name
First Name Last Name
Child 2 Full Camp Fee
Child 2 Nominated Parent Contribution
Child 3
Child 3 Full Name
First Name Last Name
Child 3 Full Camp Fee
Child 3 Nominated Parent Contribution
Child 4
Child 4 Full Name
First Name Last Name
Child 4 Full Camp Fee
Child 4 - Nominated Parent Contribution
Child 5
Child 5 Full Name
First Name Last Name
Child 5 Full Camp Fee
Child 5 - Nominated Parent Contribution
Information about your Camp Payment
Please detail the circumstances that necessitate a Subsidy request*
Is there anything that you can donate to camp in lieu of fees (eg: time, material)?
Payment plan option for Parent Contribution**

FortnightlyMonthly
*

I have nominated a dollar value under 'parent contribution'. I understand that my subsidy form will not be accepted if I have not listed how much I can afford to contribute to my child/ren's camp fees.
*Please note that all payment plans will need approval from the Chabad Youth Accounts department.
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Camp Gan Welfare Subsidy

Camp Gan Welfare - Subsidy Form

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