CHILD 1 INFORMATION
MEDICAL INFO & SPECIAL NEEDS
CHILD 2 INFORMATION
Child 2 MEDICAL INFO & SPECIAL NEEDS
FAMILY INFORMATION
AUTHORISATIONS
I hereby authorise L"Chaim Chabad or Moorabbin HC staff and/or volunteers to photograph my child and use the photographs for L'Chaim Chabad or Moorabbin HC for the following purposes:
I hereby authorise L'Chaim Chabad or Moorabbin HC staff and/or volunteers to take my child on walks outside the facility
PAYMENT INFORMATION Cost is $30/Day or $50/2 siblings*
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