Travel Camp 5779 - Chabad South Africa, driven by Miracle Drive

TRAVEL CAMP SA IS FULL, IF YOU REGISTER YOU WILL BE ADDED TO A WAITING LIST

Travel Camp South Africa is a four week program which 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. As well as being a counselor in Gan Yisrael Johannesburg
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 third 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.
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*

Home Address*

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 air fair)
This amount will be charged in SA Rands and there may be a fee from your credit card company.

Payment*

Credit Card

Agreement*
I give my permission to use the photograph of my child as well as myself for promotional purposes.My child has my permission to participate in SA Travel Camp. I understand that this program includes field trips and activities off the premises.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