Encounter 2026

If you experience any difficulty whilst completing this form - please email the Dije office at dijeadmin@sabje.co.za

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ADMIN: Payment Status
- Credit Card Payment
- EFT Payment
- Subsidy
- Payment Plan

Student First Name*
Student Last Name*
Student Phone Number*
Student Email*
Student Gender*
- Male
- Female
Student Date of Birth*

Day
Month
Year

Please Note:Primary guardians will receive all communication from the Dije via sms & email, kindly ensure all contact details are correct
Primary Guardian First Name*
Primary Guardian Last Name*
Primary Guardian Phone Number*
Primary Guardian Email*
Is there a Secondary Guardian?
- Yes
- No
Secondary Guardian First Name*
Secondary Guardian Last Name*
Secondary Guardian Phone Number*
Secondary Guardian Email*

Does the Student have medical aid?*
- Yes
- No
Medical Aid Name*
Medical Aid Plan*
Medical Aid Number*
Medical Aid Main Member*
Does the student have any allergies or medical conditions? If yes please be very descriptive in your explanation.*
- Yes
- No
Please list the allergy or condition, including a possible reaction and preventative measure.*
Is the Student on any medication?*
Please Note: It is very important that we are fully aware of all medication requirements that your child needs to take on the duration on Encounter. We would like to avoid any problems that may occur as a result of medication.
- Yes
- No
Please list the exact medication that your child needs to administer, including dosage and time of day to be taken. All medical information is kept confidential*
Does the Student have dietary requirements?*
- Yes
- No
If you selected other, or have any further information that needs to be brought to our attention about dietary requirements please indicate them below.
Family Doctor Name*
Family Doctor Phone Number*
Confirmation*
- I have answered all the above questions truthfully and to the best of my knowledge.

Select a maximum of 3 people who you would like to be in a room with.

Please Note: We will try our best to accommodate room requests. We do guarantee that you will be put with at least 1 friend on your list.
Friend 1*
Friend 2*
Friend 3*

Sweatshirt Size*
The cost of the Encounter sweatshirt is already included in the cost of Encounter
- Small
- Medium
- Large
- X Large
- XX Large
- XXX Large

I hereby agree and give permission that my child may attend the above program. I further agree that should my son/ daughter cancel his/ her participation during the week before the commencement of the program, a liability with the cost of food and accommodation will be incurred. I give consent to the Dije management to speak to the school's counselling and educational support department regarding any pertinent information that might help my child have a positive and safe experience on Encounter, and that the Dije in turn can report back any information to the schools counselling department. Information will be treated with upmost sensitivity and confidentiality. Please note the following: School rules apply on Encounter, - no drugs, alcohol, smoking or bullying will be tolerated. These offenses will be dealt with together with parents and the school. Any repairs necessary as a result of damages to rooms or on the Encounter site will be at the expense of the room in question (unless a student comes forward) and their parents will be invoiced accordingly. The Dije will not be held responsible for any items of value going missing on Encounter. This includes but is not limited to: Cellphones, laptops, Ipads and various other electronic devices. The Dije will not be held responsible for any money that goes missing. We encourage you to not send any cash on Encounter. There will be other methods of payment available. I hereby indemnify the Division of Informal Education, the advisors (leaders) in charge of the event, the South African Board of Jewish Education and any of its affiliated and/or constituent bodies and directorates and/or any representative, employee, servant or agent of any of the foregoing bodies or persons (hereinafter referred to as the organisers) against any claim whatsoever and howsoever arising which may be made against them or any of them by any person an d/or against any liability which may be incurred by and/or any damage which may be suffered by them or any of them, arising directly or indirectly out of any act or omission of any nature whatsoever, whether negligent or otherwise, on the part of the applicant.
Primary Guardian full Name & Surname*
Acceptance*
- By ticking the following circle, you are acknowledging and accepting the Indemnity form above.
Do you have any general comments or information that you would like to bring to our attention?

The cost of Encounter has been partly subsidised by the South African Board Of Jewish Education. A portion of the remaining payable cost has already been included in school fees, leaving an upfront amount of 5 510-00 to be paid at the end of this form.
If the subsidised cost should still present a problem, then please indicate this in the payment section.
No child should miss out on this magical experience.
Would you like to make a donation?*
Donations help us expand our offering, help to enhance our Encounter, as well as pay for those students who are unable to afford it.
Donations as such are hugely appreciated!
- Yes
- No
Donation Amount*
Total Due
R0.00
Payment Method - Your payment can either be done as a full payment or through a payment arrangement.*
- Credit Card Online
- Payment Plan
- Subsidy
- EFT
You have selected to pay via credit card. This is a full payment method.

You will be redirected to our WalletDoc payment page when you click continue.

Please note, your total outstanding balance below.

Your payment will be confirmed and allocated to your profile within 2 business days.
You have selected EFT as your Payment Method. Please make payment into the account below and send proof of payment to dijeadmin@sabje.co.za:

Standard Bank
Norwood
Account Number: 001 833 952
Branch 051 001
You have selected Payment Plan as your payment method:
Please note you will have the option to pay R5 510-00 over four (4) months, with instalments of R1 377.50 starting June, July, August & September.

If you continue with the option above you will need to supply us with your credit card details. These details will need to be entered below. Your first payment must go off in July.
You have selected subsidy as your payment method:
Please contact the Dije office via dijeadmin@sabje.co.za
You will then be sent an application form to complete

Subsidy request decisions will be made together with the The South African Board of Jewish Education.
They reserve the right to decline subsidy requests.
Card Holder*
Card Number*
Card Exp Date*
MM/YY
Card CVV*
Total Due
R0.00
5 510-00

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Contact Details

+27 11 480 4700
kdinfo@kingdavid.org.za

SABJE Offices

100 Club Street
Linksfield
2192

Postal Address

P. O. Box 46204
Orange Grove
2119

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