Travel Camp 5780 - Chabad House Johannesburg, driven by Miracle Drive

Travel Camp 5780 is FULL, we are no

longer accepting applications for this year.

Travel Camp South Africa is a four week program for girls completing 9th and 10th grade, this year it is running from the 28th July - 23rd August 2020 and is spent in various parts of South Africa. During the program the girls will be visiting and interacting with different Shluchim, their families, and their communities. At the same time, participants get to see some uniquely African sights, including: Cape Town, Johannesburg, Kruger National Park and the South Coast of KZN. The cost of the program is $2850 + airfare.
The girls will come home with a deeper understanding and appreciation of the Rebbe’s shluchim and the work they do across the world, as well as a sense of pride in being part of this. Our aim is to give the girls a desire to continue taking an important role in the spreading of Yiddishkeit and Chassidus. The camp now in it’s fourth year is directed by Rabbi Pini & Rochie Pink.
To apply for our camp, please fill out the below form. Once we receive your application we will contact you to set up a time for a phone interview. Spaces are limited!

For more information please email camp@chabad.org.za.
1. Child’s Information
Camper*
Legal NameLast Name
Camper*
Hebrew NameKnown by
Birth Date*
MonthDayYear
Grade*
9th Grade10th Grade
Age*
Nationality*
Passport Number*
Passport country of issue*
Anything we should know about your daughter
2. Fathers information
Name*
First NameLast Name
Cell Number*
Area CodePhone Number
Home Number*
Area CodePhone Number
Work Number
Area CodePhone Number
E-mail*

Home Address*

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

Occupation*
Marital Status*
3. Mothers information
Name*
First NameLast NameMaiden Name
Cell Phone*
Area CodePhone Number
Home Phone*
Area CodePhone Number
Work Phone
Area CodePhone Number
E-mail*

Home Address*

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

Occupation*
Marital Status*
4. School & References
Name of School your child attends*
School Tel #*
Area CodePhone Number
Principal's Name*
First NameLast Name
Principal's Email*
Reference Name (Not a family member)*
First NameLast Name
Reference Email*
Reference Tel #*
Area CodePhone Number
5. Emergency Information
Emergency Contact*
First NameLast Name
Phone Number*
Area CodePhone Number
Relationship*
6. Payment Information
No application will be processed without credit card details.
Your card will only be charged once your child is accepted. It will then be charged an initial amount of $500 which will secure your child's place in camp. This amount will come of the balance off the camp fees. Full payment is required before camp begins.
The cost of camp is $2850 (excluding airfare)
This amount will be charged in SA Rands and there may be a fee from your credit card company.
Please note all applications are none refundable.

Payment*

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Agreement*
I give my permission to use the photograph of my child for promotional purposes.My child has my permission to participate in SA Travel Camp.I understand that by participating in any SA Travel Camp activities and use of any recreational facilities involves risk of accidental injury despite all safety precautions. Having been informed of the activities to be conducted by the camp, I/ We as an individual or as a parent or guardian of the participants named herein, assume all risk and hazards incidental to the activities and release from responsibility and agree to indemnify and hold harmless the Camp, its officers, directors, independent contractors, volunteers and all employees for any illness or injury to me or my children or family members occurring during his/her/our participation in any activities or use of any facilities at or conducted by the campI understand that all applications are non refundable.I understand that by enrolling in SA Travel Camp I am agreeing to abide by all its policies.I hereby grant permission to contact my child's school as a reference
General comments
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1. Child’s Information

2. Fathers information

3. Mothers information

4. School & References

5. Emergency Information

6. Payment Information