Subsidy/Payment plan application for BASC 23
Please note: This Google form will remain completely confidential.
Our Gizbar (Treasurer) Jared Levy, will process your request for a subsidy or payment plan.

If your request is granted, a special sign-up link will be provided allowing you to sign up your children. Please note that completing this form does not mean your children have been signed up for camp, as the camp sign up form also needs to be filled out.

Contact information is below:

Jared Levy
Phone number: 0406 322 960
Email: melb.gizbar@bneiakiva.com.au


Parent's name *
Parent's phone number *
Parent's email *
How many kids do you want to send on camp? *
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