EmPower Membership Sign Up

EmPower Membership Sign-Up Form

EmPower membership is for Jewish youth between the ages of 0 and 21 years.

EmPower membership is an annual subscription from 1 August to 31 July.
The fee for EmPower membership is $180 per year or part thereof.

EmPower membership includes free or discounted access to functions, events, programs and socials for all age groups, birthday vouchers, merch and more!

EmPower membership does not include a seat in Shule.

Student members automatically get EmPower membership - at no charge!

Parent's Name

Parent's Surname

Parent's Email

Parent's Phone

1. Child's Name and Surname

1.1 Child's Date of Birth

1.2 School Child Attends

1.3. Child's Mobile Number (if available)

1.4 Child's Email Address (if available)

2. Child's Name and Surname

2.1. Child's Date of Birth

2.2 School Child Attends

2.3 Child's Mobile Number (if available)

2.4. Child's Email Address (if available)

3. Child's Name and Surname

3.1. Child's Date of Birth

3.2 School Child Attends

3.3 Child's Mobile Number (if available)

3.4. Child's Email Address (if available)

4. Child's Name and Surname

4.1. Child's Date of Birth

4.2 School Child Attends

4.3 Child's Mobile Number (if available)

4.4. Child's Email Address (if available)

EmPower membership is $180 per child per year. Please enter and pay the total depending on the number of children being signed up (maximum 4 per form)

AU$

I accept the PHC Inc's e-Commerce terms & conditions.

Thanks for signing up

Important Notices

Terms and conditions apply to EmPower membership, enquire at office@thephc.com.au.
The Perth Hebrew Congregation Inc does not save or store member or user's credit and/or debit card details on the PHC website or in any records.
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