· All classes take place at the Jewish Russian Centre, 366 Carlisle St, Balaclava

· Our teachers use hands on, fun activities to develop the children’s interest

    and love for learning

· Curriculum includes: Russian language, Mathematics and Jewish culture

· Lunch and snacks are provided during break time

· Fee per term is $250, payable at the beginning of each term

· Enrollment Form is found below

· For more info and any queries, call Sholem on 0452 448 770

                                                                  Schedule  

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At Chabad on Carlisle - Jewish Russian Centre we are committed to deliver services in an environment that is caring, nurturing and safe, and to safeguard children and young people from abuse and neglect.

Please click here to view our full Child Protection Policy

 

Registration: 



CHILD 1 INFORMATION

Surname
First Name
Hebrew name (if known)
Date of Birth (dd/mm/yyyy)
Gender
Grade (2016)
School
   
Names of previous Jewish educational schools/after school/programs
MEDICAL INFORMATION
Any medical conditions
Drug/Food allergies
Is tetanus booster up to date
Is an EPIPEN Required

 

 
CHILD 2 INFORMATION
First Name
Hebrew name (if known)
Date of Birth (dd/mm/yyyy)
Gender
Grade (2016)
School
   
Names of previous Jewish educational schools/after school/programs
MEDICAL INFORMATION
Any medical conditions
Drug/Food allergies
Is tetanus booster up to date
Is an EPIPEN required
 
MOTHERS INFORMATION
Surname
First Name
Email
Home Phone
Mobile
FATHERS INFORMATION
Surname
First Name
Email
Home Phone
Mobile

CHILDS PRIMARY ADDRESS

Street Number and Name
Postcode
 
Marital Status
Is the natural mother of the child Jewish Yes No
Are there any conversions in the family Yes No
If yes, please give further details including place of conversion
Shul affiliation if any
 
EMERGENCY INFORMATION
Full Name
Relationship to child
Phone
Mobile
Local GP Name
Local GP Phone
 
 
Fees

$250 per term per child

AUTHORISATION FOR PICK UP (IF NOT PARENTS)

Full Name of Authorised Person to pick up 1

Phone number of Authorised Person 1

Relation to Child

Full Name of Authorised Person to pick up 2

Phone number of Authorised Person 2

Relation to Child

OPTIONAL
Special remarks
Please put my child in the same class as
How did you hear about us
Other
 
DECLARATION OF PARENT / GUARDIAN
I hereby authorise Chabad on Carlisle-Jewish Russian Centre leaders and staff to obtain any medical care necessary for my child. I understand that in the case of emergency of any significant illness or injury, attempt will be made to contact myself when practical. I agree to pay for any cost that may occur as a result of the injury/illness. I acknowledge my child may be participate in activities within and outside the Chabad grounds. I authorise my child to participate in these activities. I hereby authorise Chabad on Carlisle_Jewish Russian Centre to photograph my child and to use the photographs at their discretion.
I agree to the above declaration.
Full Name
Date
 
Enrolment fee 

Lock - SecureSecure online payment
CREDIT CARD
Visa LogoMastercard Logo

   
Card Type Visa Master Card
Name on card
Card number
Exp
Amount
Direct Debit Details
I authorise Chabad on Carlisle - Jewish Russian Centre to debit the above credit card at the start of each Sunday School term ($250 per child).