Camp Dates

Camp Dates A: July 2 - July 30 (4 weeks) B: July 2 - July 23 (3 weeks) C: July 9 - July 30 (3 weeks) D: July 2 - July 16 (2 weeks) E: July 9 - July 23 (2 weeks) F: July 16 - July 30 (2 weeks)

Your Details

Family Name

First Name of Parent or Guardian

Student's First Name

Family Name of Parent or Guardian

Address

Postcode

Country

Gender Male Female 2

Age

Date of Birth

Home Telephone

Business Telephone

Parent's Mobile

Student's Mobile

Email of Parent

Email of Student

Fax

Telephone Number during period of Camp if different from above:

Nationality

Name of School/College

Mother Tongue

2nd Language

Level of Judaism Orthodox Modern Orthodox Conservative Liberal Traditional

Accommodation (2 or 3 in a room)

Do you wish to share with a friend/s ? Yes No

If yes, please give name of friend/s

Medical & Diet

Does he/she have any allergies, special dietary requirements or medical Care Yes No

If yes, please specify

Languages

Do you wish to study a language Yes No

If yes, which language do you wish to study: English Spanish

Number of years studying the language

Oral Level: 1

Beginner, 5

Very Good 1 2 3 4 5

Written Level: 1

Beginner, 5

Very Good 1 2 3 4 5

Youth Leadership / CIT Programme 16 - 18 years Do you wish to take part? Yes No

Airport Transfer( Optional Extra) Do you require airport transfer to and from the camp? Yes No

Granada Alhambra Palace Tour (Optional Extra) Do you wish to take part? Yes No

Seville Day Visit Tour (Optional Extra) Do you wish to take part? Yes No

An Evening Visit to a Bullfight (Optional Extra) Do you wish to take part? Yes No

Excursions (Day & Evening): Ages 12- 14 years

Students aged 12 -14 will be accompanied on Excursions by monitors.

Excursions(Day & Evening) Ages 15 - 17 years Whilst on organised Camp Excursions, my son/daughter is granted permission to walk around without a monitor in small groups. Yes No

Special Evening Excursions Ages 16 - 18 years My son/daughter is granted permission to go out in the evening using private buses hired by Camp Espana (for which a Round Trip charge of €5 will be levied) to places such as Puerto Banus, Marbella & Estepona. The student must return on the private bus. Use of taxis in the evening by students is not permitted. Please note that although monitors will be on the buses, students will be allowed to walk around on their own or in a group. Yes No

How did you hear about Camp España ? Friend Internet Relative School Newspaper Advertisement Previous Camper Monitor 8

Travel & Insurance Please provide details of your insurance, which is compulsory, and must include travel, medical expenses, personal accident, cancellation & curtailment, baggage, personal property & money, travel delay and persona lliability.

Camp Fees

Please contact us for prices in your currency Euro or Dollar or Sterling.Camp Fees include Accommodation, Full board, Activities, Excursions, and Evening programme.

Optional Extras

a) Language School (15 hours per week)
2 week course €180
3 week course €270
4 week course €360

b) Malaga airport transfer €90 (€45 each way)
c) Granada Alhambra Palace Tour €50
d) Seville Day Tour €50
e) Bullfight €40

Deposit

A deposit is required for Applications to be confirmed.

Mode of Payment

By Cheque made payable to JCamps Yes No

or By Bank Transfer in Euros, Sterling or Dollars Yes No

Terms and Conditions (required) This box must be ticked. Part or full payment is regarded as your acceptance of them. terms and conditions I confirm that I have read and agree to the terms and conditions.