20100315 registration forms n others

The International Association of Lions Clubs8th DISTRICT 308-A2 LEO FORUM 2010

OFFICIAL REGISTRATION FORMDate: 5th – 7th June 2010 (Sat - Mon)

Venue: Perkasa Hotel Keningau, Sabah1. Submit forms, photos & payment to:-

Leo Christina ChongNo.116 Taman Mesra , Lorong Bunga Kuasai 3, Jalan Penampang, 88300 Kota Kinabalu, Sabah

Tel: (088) 233 797 Fax: (088) 233 797.

2. Give your travel details later (if not known as yet).3. Registration is on first come-first served basis.

Incomplete registration forms may be rejected.

4. DO NOT SEND CASH. Pay by bank draft or cheque; write your name & club behind. Make payment to:- “Lions Club of Kota Kinabalu Mandarin”Public Bank Berhad account No. 3118120510

(add RM0.50 for outstation cheques)5. Use BLOCK LETTERS to fill the forms, tick where applicable. Photostat copies of forms are acceptable

PHOTOS:Attach two (2) passport sized photographs of

self;Write your name &

i.c no behind.

A. REGISTRATION & ACCOMMODATION (incl. 2 breakfasts, 3 lunches & 2 dinners)Rate / pax No Amt RM

1. Leos (4 – 6 pax per room) up to & before 15 March 2010

Leos (4 – 6 pax per room) 16 March 2010 onwards

RM250.00

RM280.00

2. Lions / Faculty Advisor accommodation & registration ( 2 sharing a room ) RM300.00

3. Meal / Dinner tickets per pax - Buffet Breakfast

- Buffet Lunch

- Fellowship Dinner

- Banquet Dinner

RM25.00

RM35.00

RM40.00

RM50.00

4. TOTAL

* Note: Rooms are allocated on first-come first-served basis.B. PERSONAL DETAILS & PREFERENCESurname: Given Name(s):

IC or Passport No: Date of birth (d-m-y): Age: Gender: Male ! Female !

Postal Address: E-mail:H/p:Tel: Fax:

Nationality: Malaysia !Brunei !

Others pls state.......................... !

Seminar Preference: English ! or Mandarin ! T-Shirt Size: S ! / M ! / L ! / XL !

Vegetarian Meals required ! Special Needs !..................... Allergies !...................... Asthma !

Name of Parent or Guardian :Home Address :Tel Contact (H) : (O): H/p:

C. CLUB DETAILSLeo / Lions Club of: Alpha ! Omega ! Lion ! Position:

Sponsor Lions Club: Lions Club of Sub-District 308-A2Leo Advisor: LionPostal Address:

Leo Advisor’s contact:H/p No:Tel: Fax:E-Mail:

D. TRAVEL DETAILS (Transportation is provided only on 5th & 7th June 2010)Date: ARRIVAL Flight No: Estimate Time Arrival :

Date: DEPARTURE Flight No: Estimate Time Departure:On the 5 th June 2010 NOTE: On 5/6/2010, flight arrival at KK Terminal 1 (MAS / Mas Wings) or Terminal 2 (Air Asia) must be before 12:00 noon" I need transport from KK Airport Terminal 1! Forum Venue " I need transport from KK Airport Terminal 2 ! Forum Venue

On the 7 th June 2010 NOTE: On 7/6/2010, flight departure from KK Terminal 1 (MAS or Mas Wings) or Terminal 2 (Air Asia) must be after 4.00 pm" I need transport from Forum Venue ! KK Airport Terminal1" I need transport from Forum Venue ! KK Airport Terminal 2" I need transport from Forum Venue ! Padang Merdeka (Town)

" I need transport from Padang Merdeka (Town) ! Forum Venue (NOTE: Buses from Padang Merdeka depart according to the bus company's scheduled departure times. Pls refer to web site for further details)

E. PAYMENT (Please indicate if payment is for: Individual " or Group " )

Cheque/Bank Draft No: Date: Payment Amount: RM

Date Received Receipt No :

Registration No:

OFFICIAL REGISTRATION FORM: of 2


5th – 7th June 2010, Perkasa Hotel Keningau

OFFICIAL REGISTRATION FORM

F (1). TO BE FILLED BY PARENT/GUARDIAN OF PARTICIPANTS BELOW 18 YEARS OLD

I hereby permit my son/ daughter/ ward (name): _______________________________________________________________to participate in the 8th District 308-A2 Leo Forum 2010 to be held on 5th – 7th June 2010 in Keningau, Sabah with the knowledge that the Organising Committee has taken all necessary precautionary measures and is not liable to be held responsible for any mishaps, injury and/or loss resulting directly/indirectly from his/her participation in the Forum and also indemnify the organisers and parties related to it against any claims made by any party in connection with the activity.

NAME OF PARENT/GUARDIAN: _______________________________________ IC NO: ____________________________

SIGNATURE: _____________________________________________________ DATE: ____________________________

F (2). TO BE FILLED BY PARTICIPANTS AGE 18 YEARS & ABOVE

I (Name), _______________________________________________________________ shall not hold the Forum Organising Committee, its appointed staff and/or officials liable for any mishaps, injury and/or losses resulting directly, indirectly from my participation in the 8th District 308-A2 Leo Forum 2010 to be held on 5th – 7th June 2010 in Keningau, Sabah and also indemnify the organisers and parties related to it against any claims made by any party in connection with the activity.

SIGNATURE: _______________________________________________________ DATE: _____________________________

G. TO BE COMPLETED BY ALL PARTICIPANTS

IN CASE OF EMERGENCY, PERSON TO CONTACTName:Postal Address:

H/p No:E-mail:Tel No:Fax No:

Relation to participant: !Father !Mother !Other ….....................................

I hereby declare that all information provided in the Official Registration Forms are true and correct. I will abide by the rules & regulations set by the Forum Organising Committee at all times. I understand that the Registration Fee is Non-Refundable. Upon my withdrawal a substitute participant may be allowed, upon request & accompanied by a separate registration form.

PARTICIPANT NAME: LEO …......................................................................

SIGNATURE: …........................................................................................... DATE: …...............................................

COMMITTEE CHAIRPERSON LION ADVISOR

Forum Organising ChairpersonLeo Christina Chong (Leo Club of SM Stella Maris)H/p: 014-6772869E-mail : [email protected]

Lion Melvin Disimond (LC KK Penampang)H/p: 019-8203825E-mail : [email protected]

Registration Leo Sylvia Simon (Leo Club of SM Stella Maris)H/p: 016-8221433E-mail : [email protected]

RegistrationLion Adriana Voon (LC Tg Aru)H/p: 019-8726559E-mail : [email protected]

RegistrationLion Jacky Wong (LC Tg Aru)H/p: 016-8222207E-mail : [email protected]

TransportationLeo Hong Jia Mei (Leo Club of SM All Saints)H/p: 014-6552778E-mail : [email protected]

TransportationLion Chong Kiew Loi (LC of KK Host)H/p: 013-8518001E-mail : [email protected]

OFFICIAL REGISTRATION FORM: of 2


Date : 5th – 7th June 2008 (Saturday – Monday)Venue : Perkasa Hotel Keningau, Sabah

To : Cabinet Secretary, Cabinet TreasurerRegion, Zone & District Chairpersons

Lions Club Presidents & members Leo Advisors & School Faculty Advisors Leo Club Presidents & members

everyone! Please take note that the 8th District 308 – A2 Leo

Forum 2010 is coming soon. It will be held on the 5th to 7th June 2010 at Perkasa Hotel Keningau, Sabah.

We are sure you would have fun and great experience in this forum.We look forward to welcome you.

See you soon !

Yours in Leo Spirit, CHRISTINA ( Leo Christina Chong Tsen Yee )Forum Organizing Chairperson

copy to: District Governor Karen Koh1st Vice District Governor Augustine Ngu2nd Vice District Governor Dr Tan Tsu KunDC Leo Clubs ( Sarawak )DC Leo Clubs ( Sabah, Brunei & WP Labuan )

8th District 308-A2 Leo Forum 20105-7 June 2010, Perkasa Hotel Keningau

Main Program

Day/Date/Time Activities Venue

Saturday, 5th June 20109.00am-5.00pm Registration for all delegates Apin-Apin Room, Perkasa Hotel12.00pm-2.30pm Lunch Full Moon Banquet Hall, Perkasa Hotel12.00pm onwards Room Check-in Lobby, Perkasa Hotel2.30pm-3.00pm Briefing to Chief Delegates Pegalan Room, Perkasa Hotel3.30pm ~ 5.00 pm Opening Ceremony Dewan Masyarakat Keningau 7.30pm-11.30pm Fellowship Night Dewan Masyarakat Keningau

Sunday, 6th June 20106.30am-7.30am Breakfast Cafe & Kokorui Room, Perkasa Hotel8.00am-9.00am Seminar on Forum Theme Full Moon Banquet Hall, Perkasa Hotel9.05am-10.00am Talk on Youth Programs Full Moon Banquet Hall, Perkasa Hotel

Tea Break10.15am - 12.00noon Leo Officers & Members Workshop Full Moon Banquet Hall, Perkasa Hotel12.05pm - 12.45pm Lunch Cafe & Kokorui Room, Perkasa Hotel1.00pm - 5.00pm Outdoor Activities7.30pm - 11.30pm Banquet Night Dewan Masyarakat Keningau

Monday, 7th June 20106.30am-8.00am Breakfast Café & Kokorui Room, Perkasa Hotel8.30am-11.00am Closing Ceremony Full Moon Banquet Hall, Perkasa Hotel11.00am-1.00pm Lunch Café & Kokorui Room, Perkasa Hotel12.00pm onwards Checkout Lobby, Perkasa Hotel

Secretariat : Apin-Apin Room, Perkasa Hotel Keningau (http://www.perkasahotel.com.my/phk.html )

http://www.perkasahotel.com.my/phk.html

8TH DISTRICT 308-A2 LEO FORUM5-7 JUNE 2010

PERKASA HOTEL, KENINGAU

House Rules and Guidelines

A. Check in and check out 1. Check in on 5th June 2010 (Saturday) [lunch provided]2. Check out before 1 pm on 7th June 2010 (Monday) [packed lunch provided]3. Any additional charges by the Hotel as a result of earlier arrivals, late check out and

extended stay will be borne by LEOS and LIONS themselves.4. Before checking out, do check your room that you have not forgotten your wallet,

IC/Passport & other valuables.5. Please return room keys to the Hotel reception counter upon checking out.

! CODE OF CONDUCTB. Name / Identification Tag 1. Name/Identification tag must be worn at all times when moving around the

Forum venue. Any participant found without name/Identification tag will receive a warning and be requested to put it on immediately.

2. A fine of RM5.00 and disciplinary action will be taken against any Leo found without Name/Identification tag for more than 3 times.

3. Delegates without Name /Identification tag will not be allowed into any forum event and meals.

4. Replacement upon verification for loss of Name /Identification tag is RM10.00 per tag.

C. Attendance 1. Forum events and activities are COMPULSORY for all Leo delegates. Disciplinary

measures will be taken against any delegate found in hotel room during forum events.2. PUNCTUALITY must be observed at all forum events.

D. Behaviour 1. Delegates who are involved in any sort of crime, misbehaviour, rowdiness, violation of

house rules, fighting, gambling, smoking and consuming of alcoholic drinks will be asked to leave the forum venue immediately without refund of registration fees, room and meals payment.

2. Lights have to be off at 12.00 midnight on the 1st night and at 1.00 am on the 2nd night.3. Disciplinary action will be taken against any delegate found in the room of the opposite

sex. 4. Disciplinary action will be taken against any delegate found not in their own room after

1.00am.5. No delegate will be allowed to leave the forum venue unless prior consent is obtained

from DC Leo or Leo Adviser/ Faculty adviser and endorsed by Chief Forum Adviser. ONLY VALID AND GENUINE CASES WILL BE CONSIDERED.

6. Disciplinary action will be taken against any delegate found leaving the forum venue without written permission.

7. No alcoholic drink is allowed during the Forum.

E. Dress Code 1. Delegates must observe dress code in all forum events.2. Delegates without proper dress code will be requested to change before attending any

function/dinner/event.3. Shoes for male delegates or formal footwear for female delegates must be put on during

all official functions and meals served in the forum venue.

8TH DISTRICT 308-A2 LEO FORUM5-7 JUNE 2010

PERKASA HOTEL, KENINGAU

House Rules and Guidelines

! HOTEL RULES &REGULATIONS1. All room service charges are borne by delegates (phones, laundry, food etc)2. All delegates must observe room cleanliness even though there are house keeping

services.3. The Hotel's properties are not allowed to be taken out of the Hotel unless they have been

purchased.4. Delegates must observe the Hotel's rules and regulations at all times.5. Delegates have to pay for any damage of the Hotel’s properties.6. Do not slam doors or behave noisily in the resort corridors.

! EMERGENCY 1. In the event of an EMERGENCY, kindly contact the Secretariat or the Hotel’s

reception.2. Please return all “LOST AND FOUND” items to the Secretariat.3. Please cooperate with security personnel at various checkpoints at forum venue.

The International Association of Lions club8th DISTRICT 308-A2 LEO FORUM 2010

CHECK LISTS:-

Please check the following before leaving for the 8th District 308-A2 Leo forum at Perkasa Hotel Keningau:-

1. Leo Club Banner

2. Leo Vest

3. Sports Shoes

4. Toiletries

5. Stationeries/Notebook

6. A set of formal dress code for Banquet Night(Theme:)

7. A suitable attire for Fellowship Night (Theme: )

8. Cap/Hat

9. Spare shoes

10. T-shirt & Pants

11. Pocket Money

12. Umbrella (for short distance walk about 3 minutes Perkasa Hotel – Dewan Masyarakat Keningau)

(Please tick wherever applicable)

20100315 registration forms n others

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