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YOUTHS – BUILDERS OF A BETTER<br />

TOMORROW<br />

ROTARY YOUTH LEADERSHIP AWARDS<br />

12 – 15 March 2011<br />

“<strong>Youth</strong>s – <strong>Builders</strong> <strong>of</strong> a <strong>Better</strong> <strong>Tomorrow</strong>”<br />

TABLE OF CONTENTS<br />

a) Letter <strong>of</strong> Invitation by the President <strong>of</strong> <strong>Rotary</strong> Club <strong>of</strong> Kinabalu Sutera<br />

b) Information on <strong>Rotary</strong> <strong>Youth</strong>s Leadership Awards (RYLA)<br />

c) Information on the venue Outward Bound Sabah (OBS) (Appendix A)<br />

d) Map Location <strong>of</strong> the Venue (Appendix A)<br />

e) Master Programme (Appendix B)<br />

f) Registration Form A (Participant Details)<br />

g) Registration Form B (Medical Declaration)<br />

h) List <strong>of</strong> Things to Bring (Appendix C)


The <strong>Rotary</strong> Club <strong>of</strong> Kinabalu Sutera<br />

Club No. 55923 <strong>District</strong> 3310<br />

(Charter Date: June 21 st 2001)<br />

P.O.Box 20594, 88763 Luyang<br />

Kota Kinabalu, Sabah, Malaysia<br />

2010-2011<br />

BOARD OF DIRECTORS<br />

PRESIDENT<br />

Rtn Ian Thow Yin Lap PHF<br />

Tel: 088-430091 Fax: 088-430091<br />

ianthow@gmail.com<br />

IMMEDIATE<br />

PAST PRESIDENT<br />

Rtn Judy Hiew<br />

Tel: 088-288108 Fax: 088-288104<br />

chancery@streamyx.com<br />

PRESIDENT ELECT<br />

Rtn Lai Kin Ken PHF<br />

Tel: 088-268785 Fax: 088-268785<br />

kklai268@yahoo.com<br />

VICE PRESIDENT<br />

Rtn Paul Chong<br />

Tel: 088-717448 Fax: 088-256161<br />

paulchghk@gmail.com<br />

SECRETARY<br />

PP Rtn Christina Aluda PHF<br />

Tel: 088-212415 Fax: 088-224700<br />

c_aluda@yahoo.com<br />

TREASURER<br />

Rtn Fatimah Yassin PHF<br />

Tel: 019-8525768<br />

timah_y@hotmail.com<br />

DIRECTORS<br />

PP Rtn Datuk Verus Aman Sham<br />

PHF<br />

Tel: 088-268819<br />

verus60@yahoo.com<br />

PP Rtn Datuk Gabriel William JP<br />

Tel: 088-750311 Fax: 088-750312<br />

exesec@outwardbound.com.my<br />

SERVICE CHAIRS<br />

CLUB ADMINISTRATION<br />

IPP Rtn Judy Hiew<br />

Tel: 088-288108 Fax: 088-288104<br />

chancery@streamyx.com<br />

MEMBERSHIP<br />

Rtn Fatimah Yassin PHF<br />

Tel: 019-8525768<br />

timah_y@hotmail.com<br />

President <strong>of</strong> <strong>Rotary</strong> Clubs<br />

<strong>District</strong> 3310 25 th January 2011<br />

Dear Sir/Madam,<br />

Re: Pan Borneo RYLA Camp “<strong>Youth</strong> – <strong>Builders</strong> <strong>of</strong> A <strong>Better</strong> <strong>Tomorrow</strong>”<br />

Fellow Presidents, I am pleased to inform you that the Pan Borneo RYLA<br />

Camp 2011 will be organised by the <strong>Rotary</strong> Club <strong>of</strong> Kinabalu Sutera (RCKS)<br />

in close collaboration with the Outward Bound Sabah (OBS) from 12th to 15th<br />

March, 2011.<br />

The main purpose <strong>of</strong> this letter is to give early notice <strong>of</strong> the Event so as to<br />

enable outstation participants to make the necessary travel arrangements.<br />

Arrangement has also been made with the Management <strong>of</strong> OBS to allow<br />

outstation participants to come one day earlier and stay at OBS dormitories at<br />

no extra charge. The same arrangement is available for those who may have to<br />

extend their stay by an extra day to suit their travel itinerary.<br />

Places are limited to 100 participants only. It is therefore imperative to register<br />

as soon as possible. Selection will be on “First Come, First Served” basis.<br />

I enclose herewith the Registration Forms and other general information <strong>of</strong> the<br />

Camp for your necessary action. If you need further clarification please contact<br />

either:<br />

President Ian Thow (H/P: 0128280188 ; email: ianthow@gmail.com),<br />

Datuk Gabriel William (H/P: 0198607330 ; email:<br />

exedir@outwardbound.com.my)<br />

Benjamin Benedict (H/P: 0138501201 ; email:<br />

asst_director@outwardbound.com.my).<br />

Looking forward to your full cooperation.<br />

Warmest regards,<br />

Yours in <strong>Rotary</strong>,<br />

Rtn Ian Thow<br />

President <strong>of</strong> RCKS<br />

PUBLIC RELATIONS<br />

PP Rtn Christina Aluda PHF<br />

Tel: 088-212415 Fax: 088-224700<br />

c_aluda@yahoo.com<br />

SERVICE PROJECTS<br />

PP Rtn Lee Swi Heng PHF<br />

Tel: 088-710470<br />

swihenglee@gmail.com<br />

ROTARY FOUNDATION<br />

PP Rtn Alice Kunjan PHF<br />

Tel: 088-264058 Fax: 088-210676<br />

alice_sec@yahoo.com<br />

YOUTHS – BUILDERS OF A BETTER<br />

TOMORROW<br />

SERGEANT-AT-ARMS<br />

PP Rtn Abu Bakar Sheriff<br />

Tel: 016-8394212<br />

abu48bakar@yahoo.com


YOUTHS – BUILDERS OF A BETTER<br />

TOMORROW<br />

Information on PAN BORNEO RYLA 2011<br />

INTRODUCTION<br />

What is RYLA?<br />

RYLA stands for <strong>Rotary</strong> <strong>Youth</strong> Leadership Awards. It is an intensive training programme<br />

that brings together youth and young adults (ages 14 – 30) to further develop character and<br />

leadership skills whilst at the same time learning more about <strong>Rotary</strong> and its roles.<br />

RYLA’s programme is mainly intended to develop leadership qualities, good citizenship and<br />

personal development among youths.<br />

The objectives <strong>of</strong> RYLA are as follows: -<br />

<br />

<br />

<br />

<br />

To demonstrate <strong>Rotary</strong>’s respect and concern for youth.<br />

To encourage and assist young people in responsible and effective voluntary youth<br />

leadership by providing them with a valuable training experience.<br />

To foster continued and stronger leadership <strong>of</strong> youth by youth.<br />

To publicly recognize many young people who are rendering service to their communities<br />

as youth leaders.<br />

DETAILS ABOUT PAN BORNEO RYLA 2011<br />

Organizers<br />

The RYLA Programme 2011 will be organized by the <strong>Rotary</strong> Club <strong>of</strong> Kinabalu Sutera<br />

(RCKS) in close collaboration with Outward Bound Sabah (OBS).<br />

Dates<br />

Saturday, 12 th March to Tuesday, 15 th March 2011.<br />

Venue<br />

Outward Bound Sabah, KM27, New Papar Road, Kinarut, Sabah.<br />

Theme<br />

“<strong>Youth</strong>s – <strong>Builders</strong> <strong>of</strong> a <strong>Better</strong> <strong>Tomorrow</strong>”


YOUTHS – BUILDERS OF A BETTER<br />

TOMORROW<br />

Programme Format<br />

<br />

<br />

<br />

<br />

Talks/Lectures<br />

Outdoor activities designed to develop self-confidence, effective teamwork and<br />

leadership qualities.<br />

Community Service Projects.<br />

Workshops and Group Discussion.<br />

Participants<br />

<br />

<br />

Open especially to youths (male and female) residing in Sabah, Sarawak, Labuan and<br />

Brunei.<br />

Ages: 15 – 26 years old.<br />

Maximum number <strong>of</strong> participants is 100.<br />

Accommodation<br />

All participants will be accommodated in dormitories. Twelve in each dormitory with<br />

separate accommodation for Boys and Girls.<br />

Registration<br />

Participants are required to submit the duly completed Registration Forms (Form A and B)<br />

not later than 5 th March 2011 to the following address:-<br />

(Ms. Edith Joimin)<br />

Outward Bound Sabah<br />

Locked Bag 181<br />

88996 Kota Kinabalu<br />

Sabah<br />

Tel: 088-750311<br />

Fax: 088-750312<br />

E-mail: info@outwardbound.com.my


YOUTHS – BUILDERS OF A BETTER<br />

TOMORROW<br />

Registration Fee<br />

Registration fee is RM400/- (Ringgit Malaysia Four Hundred only) per participant. Payment<br />

by cheque is to be made payable to <strong>Rotary</strong> Club <strong>of</strong> Kinabalu Sutera.<br />

The registration fee covers the following expenses/items: -<br />

Accommodation at OBS dormitories<br />

All meals<br />

Transfer to OBS<br />

T-shirt/ Cap/ Bag/ Name Tag<br />

Stationary<br />

Certificate <strong>of</strong> Attendance<br />

Use <strong>of</strong> OBS facilities and equipment<br />

Linen<br />

Group Insurance<br />

Group Photo<br />

The registration fee does not cover the following items: -<br />

Personal toiletries (including toothbrush/paste/soap).<br />

Towel.<br />

Sun block / Insect repellent.<br />

Telephone calls.<br />

What to Bring<br />

Please refer to Appendix B<br />

What Not to Bring<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Jewelry.<br />

Expensive personal items (e.g. designers label shoes and apparels).<br />

Large sum <strong>of</strong> money.<br />

Liquor.<br />

Cigarettes.<br />

Drugs.<br />

Electronic Device (e.g playstation, laptop etc.)<br />

Languages<br />

Lectures and instructions will be in English and Bahasa Malaysia.


YOUTHS – BUILDERS OF A BETTER<br />

TOMORROW<br />

Meals<br />

All meals will be Halal. Participants with special dietary requirements are advised to inform<br />

the Secretariat before the commencement <strong>of</strong> the Camp.<br />

Airport And Bus Terminal Pick-up<br />

Arrangements can be made to pick-up participants from the airport (Terminal 1 or 2) and City<br />

Bus Terminal, Inanam to OBS. Flight and bus details must be submitted to the Secretariat at<br />

least 1 week before the commencement <strong>of</strong> the programme. For alternative arrangement,<br />

please contact the Secretariat.<br />

Early Check-in / Late Check-out<br />

All participants must check-in at OBS on Saturday, 12 th March 2011 between 8.00 am to<br />

9.00 am. Checkout time is 1.00 pm on Tuesday, 15 th March 2011.<br />

Outstation participants who may require accommodation prior to/after the programme may<br />

stay at the OBS or make their own arrangement. Those wanting to stay at OBS must inform<br />

the Secretariat.<br />

Rules<br />

All participants are expected to abide by the Rules and Regulations imposed by the<br />

Organisers and OBS.<br />

Drinking, Smoking and Gambling<br />

Drinking, smoking and gambling are strictly prohibited within the OBS compound.<br />

Lecture Topics<br />

Full eminent speakers will speak on the following topics: -<br />

Lecture I<br />

Lecture II<br />

Lecture III<br />

Lecture IV<br />

Lecture V<br />

Lecture VI<br />

Lecture VII<br />

- What is <strong>Rotary</strong> and what it does for the Community.<br />

- The Fundamentals and Ethics <strong>of</strong> Good Leadership.<br />

- Good Manners and Civic Mindedness.<br />

- Communication Skills<br />

- Our Environment, Our Responsibility<br />

- Human Rights<br />

- Health and Fitness


YOUTHS – BUILDERS OF A BETTER<br />

TOMORROW<br />

Programme<br />

The master programme is at Appendix B. Some activities may be changed due to unforeseen<br />

circumstances.<br />

Further Enquiries<br />

Please contact the following persons for further details/clarification: -<br />

<strong>Rotary</strong> Club <strong>of</strong> Kinabalu Sutera<br />

Rtn. Ian Thow (H/p: 012 828 0188 E-mail: ianthow@gmail.com)<br />

Rtn. Datuk Gabriel William (H/p: 0198617330 E-mail: exedir@outwardbound.com.my )<br />

Outward Bound Sabah (Office Tel: 088 750311)<br />

Ms. Edith Joimin (info@outwardbound.com.my)<br />

Mr. Benjamin Benedict (asst_director@outwardbound.com.my)


Outward Bound is an educational, non-pr<strong>of</strong>it organization committed to helping<br />

people reach their potential. The educational philosophy behind the wide variety <strong>of</strong><br />

programmes is the use <strong>of</strong> outdoor activities to achieve personal development.<br />

For half a century the Outward Bound Philosophy has been successfully facilitated in more than 50<br />

countries around the world. Since 1985, Outward Bound Sabah has adapted this methodology to the<br />

local environment and conducted courses designed to achieve certain objectives.<br />

Benefits <strong>of</strong> active participation in an Outward Bound Sabah course include:<br />

Increase self confidence<br />

Enhanced initiative and resourcefulness<br />

Developed leadership qualities<br />

Greater self discipline, determination and<br />

Productive teamwork<br />

motivation<br />

Improved communication skills<br />

Divided into groups and supervised by highly trained instructors, course members partake in a diverse<br />

range <strong>of</strong> activities such as:<br />

Ropes confidence course<br />

Kayaking<br />

White water rafting<br />

Rock climbing<br />

Orienteering<br />

Flying Fox<br />

Sailing<br />

Team problem solving<br />

Abseiling<br />

Solo camp<br />

Programmes incorporate overnight or extended expeditions—Jungle Trekking in the Crocker Range,<br />

Sailing among islands <strong>of</strong> the South China Sea and river or sea Kayaking.<br />

Outward Bound uses challenging outdoor activities to help people from all walks <strong>of</strong> life realize<br />

their physical and mental potential. The emphasis is on “learning by doing” in a safe, supportive<br />

environment. Outward Bound uses outdoor activities for educational purposes. The activities are<br />

designed so that everyone, with the willingness and determination to try, can succeed at their<br />

own level.<br />

Safety<br />

<strong>International</strong> Courses<br />

For all Outward Bound activities safety is <strong>of</strong><br />

paramount importance. Activities are carefully<br />

planned, tested and constantly supervised by qualified<br />

and experienced instructors. Participants are trained<br />

in and must abide by, basic safety procedures.<br />

Staff<br />

The Instructional Staff are vital component to the<br />

success <strong>of</strong> any programme. Instructors are chosen<br />

after a rigorous selection procedure and undertake<br />

extensive training to develop the necessary technical<br />

and people skills. Many instructors travel overseas for<br />

training and placements and Outward Bound Sabah<br />

receives visiting instructors from other countries who<br />

broaden the knowledge and experience base <strong>of</strong> the<br />

staff.<br />

Outward Bound Sabah is rapidly gaining a reputation<br />

for excellence not only in Sabah but also at the<br />

international level. Participants from more than 10<br />

countries have benefited from OB courses, with<br />

regular groups coming from Singapore, Brunei, Hong<br />

Kong and United Kingdom.<br />

Location and Facilities<br />

The incredibly diverse natural environment <strong>of</strong> Sabah<br />

provides a perfect backdrop for Outward Bound<br />

activities. The school is situated 25km South <strong>of</strong> Kota<br />

Kinabalu on a beautiful and quiet beachfront. The<br />

100 acre site, between the Kawang River and coastal<br />

foothills, incorporated accommodation, conference<br />

rooms, dining hall, boathouse, <strong>of</strong>fices etc., as well as<br />

being the location for many <strong>of</strong> the course activities.


OUTWARD BOUND SABAH<br />

Experiential Education and Outdoor Activities<br />

What is “Experiential Education”?<br />

“Experiential Education” is education that makes conscious use <strong>of</strong> participants’ experience<br />

by integrating them into the curriculum. Any experience involves a combination <strong>of</strong> all the<br />

senses (smell, hearing, sight…), emotions (pleasure, anxiety, fear, empathy…), physical<br />

condition (fitness, strength, energy level) and cognition (constructing knowledge, decision<br />

making, solving problems…). By using participants’ own experiences, this form <strong>of</strong> education<br />

addresses them in their entirety, as: thinking, feeling, physical, emotional, and social<br />

beings.<br />

“Outdoor education” uses challenges in the outdoor environment to provide intense<br />

experiences. From these shared experiences, students are viewed as valuable resources<br />

for their own education, the education <strong>of</strong> others, and the well being <strong>of</strong> the communities <strong>of</strong><br />

which they are members.<br />

What is the educational method?<br />

The “Experiential Education” method (pedagogy) is simply “learning by doing”. This is based<br />

on supportive groups confronting challenges and sharing their experiences to help each<br />

other to develop their skills. Experiences are then investigated using the “learning circle”:<br />

plan / do / review. The reviewing <strong>of</strong> an activity allows participants to learn “Hard Skills”<br />

and S<strong>of</strong>t Skills” at group and individual level. The Hard Skills are the methods, processes,<br />

techniques and the use <strong>of</strong> outdoor equipment needed for outdoor activities. S<strong>of</strong>t Skills are<br />

interpersonal and human relations skills, which include: social skills, self-confidence, trust,<br />

leadership, teamwork and communication.<br />

What are the aims <strong>of</strong> the programme?<br />

Personal development through “Experiential Education”. Outward Bound courses provide<br />

each participants with the opportunity to understand their personal strengths and<br />

weaknesses and to develop their skills.<br />

At group level: decision-making, cooperation, time management, social competence,<br />

productive teamwork, task leadership, team spirit, problem solving.<br />

At personal level: self-confidence, achievement, motivation, intellectual flexibility, selfdiscipline,<br />

emotional control, initiative, creativity, resourcefulness.<br />

For each programme, Outward Bound Sabah establishes an educational progression and<br />

selects activities to fulfill specific aims.


ROTARY YOUTH LEADERSHIP AWARDS (RYLA 2011)<br />

“<strong>Youth</strong>s – <strong>Builders</strong> <strong>of</strong> a <strong>Better</strong> <strong>Tomorrow</strong>”<br />

APPENDIX B<br />

DAY/DATE TIME ACTIVITY Venue<br />

Day 01<br />

8:00AM<br />

Registration<br />

Main Hall<br />

12 th March,<br />

2011<br />

Saturday<br />

9:00AM<br />

Camp Briefing<br />

• Sing-along<br />

• Laughing exercise<br />

• Camp rules & regulations<br />

Conference<br />

Room<br />

10:00AM<br />

Lecture I – Good Manners and Civic<br />

Mindedness.<br />

Conference<br />

Room<br />

11:00AM<br />

OBS Activities<br />

• Team goals<br />

• Name<br />

• Leader, group cheers<br />

• Slogan, flag<br />

• Team dynamics<br />

Conference<br />

Room<br />

12:30PM<br />

Lunch<br />

Dining Hall<br />

1:30PM<br />

Official Opening Ceremony<br />

• Welcoming address by President <strong>of</strong><br />

RCKS<br />

• Group Photo<br />

• Refreshment<br />

Main Hall<br />

3:00PM<br />

Lecture II - What is <strong>Rotary</strong> and what it<br />

does for the community.<br />

Conference<br />

Room<br />

4:00PM<br />

Tea Break<br />

4:30PM<br />

Ridge Run Exercise<br />

5:30PM<br />

Dance Exercise & Clean-up<br />

Car Park<br />

6:30PM<br />

Dinner<br />

7:30PM<br />

Lecture III – The Fundamentals and<br />

Ethics <strong>of</strong> Good Leadership.<br />

Conference<br />

Room<br />

8:30PM<br />

9:30PM<br />

Coat-<strong>of</strong>-Arm (Brainstorm on Theme)<br />

Supper<br />

Conference<br />

Room<br />

10.00PM<br />

Goodnight.<br />

Page 1 <strong>of</strong> 1


ROTARY YOUTH LEADERSHIP AWARDS (RYLA 2011)<br />

“<strong>Youth</strong>s – <strong>Builders</strong> <strong>of</strong> a <strong>Better</strong> <strong>Tomorrow</strong>”<br />

APPENDIX B<br />

DAY/DATE TIME ACTIVITY Venue<br />

Day 02<br />

5:30AM<br />

Wake-up<br />

13 th March,<br />

2011<br />

Sunday<br />

6:00AM<br />

7:30AM<br />

8:30AM<br />

10:00AM<br />

10:30AM<br />

Morning Exercise<br />

Breakfast<br />

Lecture IV – Communication Skills<br />

Tea Break<br />

Lecture V – Health and Fitness<br />

Beach<br />

Conference<br />

Room<br />

Conference<br />

Room<br />

11:30AM<br />

12:30PM<br />

Lecture VI – Human Rights<br />

Lunch<br />

Conference<br />

Room<br />

1:30PM<br />

OBS Activities (Ropes Activity)<br />

3:00PM<br />

Tea Break<br />

3:30PM<br />

OBS Activities Continue<br />

6:30PM<br />

Dinner<br />

7:30PM<br />

Nightline Exercise<br />

8:30PM<br />

Group Discussion – Review <strong>of</strong> Day<br />

9:30PM<br />

Supper<br />

10:00PM<br />

Goodnight<br />

Page 2 <strong>of</strong> 2


ROTARY YOUTH LEADERSHIP AWARDS (RYLA 2011)<br />

“<strong>Youth</strong>s – <strong>Builders</strong> <strong>of</strong> a <strong>Better</strong> <strong>Tomorrow</strong>”<br />

APPENDIX B<br />

DAY/DATE TIME ACTIVITY Venue<br />

Day 03<br />

5:30AM<br />

Wake-up<br />

14 th March,<br />

2011<br />

Monday<br />

6:00AM<br />

7:30AM<br />

8:30AM<br />

Morning Exercise<br />

Breakfast<br />

Lecture VII – Our Environment, Our<br />

Responsibility<br />

Beach<br />

Conference<br />

Room<br />

9:30AM<br />

Community Service<br />

12:30PM<br />

Lunch<br />

2:00PM<br />

Traditional Games<br />

Padang<br />

• Blow pipe<br />

• Boling Kelapa<br />

• Melastik<br />

• Tiga Selipar<br />

• Etc<br />

3:00PM<br />

Tea Break<br />

3:30PM<br />

Bush Cooking Competition<br />

Boathouse<br />

Preparation for Bonfire – Presentation<br />

7:00PM<br />

Bonfire<br />

Beach<br />

10:00PM<br />

Goodnight<br />

Page 3 <strong>of</strong> 3


ROTARY YOUTH LEADERSHIP AWARDS (RYLA 2011)<br />

“<strong>Youth</strong>s – <strong>Builders</strong> <strong>of</strong> a <strong>Better</strong> <strong>Tomorrow</strong>”<br />

APPENDIX B<br />

DAY/DATE TIME ACTIVITY Venue<br />

Day 03<br />

5:30AM<br />

Wake-up<br />

15 th March,<br />

2011<br />

Tuesday<br />

6:00AM<br />

7:30AM<br />

8:30AM<br />

Stretching Exercise & Solo Reflection<br />

Breakfast<br />

Panel Discussion<br />

Beach<br />

Beach<br />

10:00AM<br />

Tea Break<br />

10:30AM<br />

Programme Evaluation and Preparation<br />

for Official Closing Ceremony<br />

Conference<br />

Room<br />

11:00AM<br />

Official Closing Ceremony<br />

12:30PM<br />

• Slide Show <strong>of</strong> camp photos<br />

• Sharing by participants<br />

• Skit Group Presentation<br />

• Speech by President <strong>of</strong> RCKS<br />

• Closing Address by Guest <strong>of</strong> Honour<br />

• Certificate presentation<br />

• Presentation <strong>of</strong> awards<br />

• “If We Hold On Together”<br />

• Group photo<br />

1:30PM<br />

Lunch<br />

End <strong>of</strong> Programme<br />

Page 4 <strong>of</strong> 4


FORM A<br />

The Secretariat (Ms Edith Joimin)<br />

Outward Bound Sabah<br />

Locked Bag 181<br />

88996 Kota Kinabalu<br />

Sabah, Malaysia<br />

Tel: 088-750311<br />

Fax: 088-750312<br />

E-mail: info@outwardbound.com.my<br />

YOUTHS – BUILDERS OF A BETTER<br />

TOMORROW<br />

RYLA (<strong>Rotary</strong> <strong>Youth</strong> Leadership Awards) Camp 2011<br />

Organised By: The <strong>Rotary</strong> Club <strong>of</strong> Kinabalu Sutera<br />

Venue: Outward Bound Sabah, Kinarut, Sabah<br />

Date: 12 th – 15 th March 2011<br />

REGISTRATION FORM<br />

Section A:<br />

To be completed by the participant.<br />

Name: ______________________________________________<br />

Date <strong>of</strong> Birth: ________________________________________<br />

Home Address: _______________________________________<br />

____________________________________________________<br />

____________________________________________________<br />

Gender (Male/Female): __________________________<br />

I/C No: _______________________________________<br />

Telephone: ____________________________________<br />

Fax: __________________ H/P: ___________________<br />

T-Shirt size: ___________________________________<br />

Section B:<br />

To be completed by parent / guardian (applicable to participant below 18 years old only).<br />

Parent / Guardian’s Name: ______________________________<br />

Telephone: ____________________________________<br />

Address: ____________________________________________<br />

____________________________________________________<br />

____________________________________________________<br />

I hereby agree to send my son / daughter _______________________________________________ to the above-mentioned<br />

event and I understand that the <strong>Rotary</strong> Club <strong>of</strong> Kinabalu Sutera will not be held liable for any injury suffered by my son /<br />

daughter.<br />

_________________________________________<br />

Parent / Guardian’s Signature<br />

____________________________________________<br />

Date<br />

Important note: This form must reach the above address on or before 5 th March 2011. Registration fee is RM400/pax.<br />

All cheques must be crossed and made payable to the <strong>Rotary</strong> Club <strong>of</strong> Kinabalu Sutera.<br />

Page 1 <strong>of</strong> 3


FORM A<br />

The Secretariat (Ms Edith Joimin)<br />

Outward Bound Sabah<br />

Locked Bag 181<br />

88996 Kota Kinabalu<br />

Sabah, Malaysia<br />

Tel: 088-750311<br />

Fax: 088-750312<br />

E-mail: info@outwardbound.com.my<br />

YOUTHS – BUILDERS OF A BETTER<br />

TOMORROW<br />

RYLA (<strong>Rotary</strong> <strong>Youth</strong> Leadership Awards) Camp 2011<br />

Organised By: The <strong>Rotary</strong> Club <strong>of</strong> Kinabalu Sutera<br />

Venue: Outward Bound Sabah, Kinarut, Sabah<br />

Date: 12 th – 15 th March 2011<br />

REGISTRATION FORM<br />

Section C:<br />

To be completed by the school (if applicable).<br />

School Name: ________________________________________<br />

Telephone: ____________________________________<br />

Address: ____________________________________________<br />

____________________________________________________<br />

____________________________________________________<br />

Permission is granted to ____________________________________________ <strong>of</strong> I/C No: ___________________________<br />

to attend the above-mentioned event.<br />

___________________________________________<br />

Principal’s Signature and Official Stamp<br />

____________________________________________<br />

Date<br />

Section D:<br />

To be completed by sponsor (if applicable).<br />

Sponsor Name: ______________________________________<br />

Telephone: ____________________________________<br />

Address: ____________________________________________<br />

____________________________________________________<br />

____________________________________________________<br />

I / We hereby wish to sponsor ______________________________________ <strong>of</strong> I/C No: ____________________________<br />

to attend the above-mentioned event.<br />

__________________________________________<br />

Sponsor’s Signature<br />

____________________________________________<br />

Date<br />

Page 2 <strong>of</strong> 3


FORM A<br />

The Secretariat (Ms Edith Joimin)<br />

Outward Bound Sabah<br />

Locked Bag 181<br />

88996 Kota Kinabalu<br />

Sabah, Malaysia<br />

Tel: 088-750311<br />

Fax: 088-750312<br />

E-mail: info@outwardbound.com.my<br />

YOUTHS – BUILDERS OF A BETTER<br />

TOMORROW<br />

RYLA (<strong>Rotary</strong> <strong>Youth</strong> Leadership Awards) Camp 2011<br />

Organised By: The <strong>Rotary</strong> Club <strong>of</strong> Kinabalu Sutera<br />

Venue: Outward Bound Sabah, Kinarut, Sabah<br />

Date: 12 th – 15 th March 2011<br />

REGISTRATION FORM<br />

Section E:<br />

Mode <strong>of</strong> transportation (Please check () which ever applicable)<br />

No, I do not require transportation to Outward Bound Sabah, Kinarut, Thank you!<br />

Yes, I require transportation to Outward Bound Sabah, Kinarut, Sabah. Please take note <strong>of</strong> the following arrival time<br />

and disembarking location. Thank you!<br />

I will be arriving by: Flight Time <strong>of</strong> arrival: __________________ Flight no: ___________________<br />

Bus / Land<br />

Time <strong>of</strong> arrival: __________________ Vehicle no: __________________<br />

Remarks: ___________________________________________________________________<br />

___________________________________________________________________________<br />

___________________________________________________________________________<br />

Important Note: The Organiser will arrange pick up at selected time on 12 th March 2011 at Airport (Terminal 1 and<br />

2) and City Bus Terminal, Inanam ONLY. Participants requiring transportation will be informed duly on the pick up<br />

schedule. For alternative arrangement, please contact the Secretariat.<br />

Page 3 <strong>of</strong> 3


FORM B<br />

YOUTHS – BUILDERS OF A BETTER<br />

TOMORROW<br />

Part 1 - MEDICAL HISTORY (To be completed with medical <strong>of</strong>ficer)<br />

1. IS THERE A HISTORY OF/HAVE YOU EVER<br />

HAD<br />

(a) Chest pain, High blood pressure, heart problems<br />

eg. Heart murmur, Extra heart beat or other heart<br />

abnormality<br />

NO YES If Yes, describe<br />

(b) Asthma, Bronchitis, Tuberculosis, Sinusitis, Other<br />

lung problems<br />

(c) Fits, Epilepsy, Fainting Attacks, Migraine, Sever<br />

head injury<br />

(d) Eye problems/poor vision<br />

(e) Ear problems/deafness<br />

(f) Nervous illness<br />

(g) Diabetes<br />

(h) Allergy to medicines/food/others<br />

(i) Bone or joint injury<br />

(j) A carrier status for any infectious disease?<br />

(k) Medical treatment within last two years<br />

2. IS THERE A NEED FOR/DO YOU REQUIRE<br />

(a) Routine Medication<br />

(b) Special diet<br />

3. IS THERE/DO YOU HAVE<br />

(a) Any disability<br />

(b) Pregnancy<br />

(c) Any other medical information <strong>of</strong> note<br />

4. TETANUS IMMUNIZATION<br />

(compulsory)<br />

Date <strong>of</strong> last immunization<br />

5. Height : ______________ meters Weight : _______________ kilograms<br />

____________________ ____________________ _____________________<br />

Name <strong>of</strong> Clinic Name <strong>of</strong> Doctor Signature and Date<br />

REV 1.0 Page 1 <strong>of</strong> 2


FORM B<br />

YOUTHS – BUILDERS OF A BETTER<br />

TOMORROW<br />

Part II – MEDICAL DECLARATION BY APPLICANT (to be signed by ALL applicants)<br />

I declare that all the information provided above are true. I am currently not suffering from any acute<br />

ailments or diseases.<br />

___________________<br />

_______________________________<br />

Date<br />

Name &Signature<br />

SCHOOLS STUDENTS (Please bring along your school health booklet when you go for your<br />

medical examination<br />

PART III – CERTIFICATION OF FITNESS (to be completed by Medical Examiner)<br />

I have this date ____________________examined _______________________________________<br />

(name)<br />

and found *him/her *FIT/UNFIT to participate in the Outward Bound programmes and activities.<br />

Remark :<br />

_________________________________________________________________________________<br />

_________________________________________________________________________________<br />

_________________________________________________________________________________<br />

________________________<br />

Name <strong>of</strong> Doctor<br />

_______________________________<br />

Signature<br />

________________________<br />

Clinic Stamp<br />

_______________________________<br />

Date<br />

*Delete where not applicable<br />

PA/OBS/1/94(2)<br />

REV 1.0 Page 2 <strong>of</strong> 2


APPENDIX C<br />

OUTWARD BOUND SABAH<br />

Locked Bag 181, 88996 Kota Kinabalu, Sabah, Malaysia<br />

Tel: 60 88 750311 Fax: 60 88 750312<br />

E-mail: info@outwardbound.com.my<br />

RECOMMENDED PERSONAL CLOTHING AND EQUIPMENT LIST<br />

You can arrive in t-shirt and loose long pants (track suit bottom).<br />

2 pairs long sleeved shirts 1 towel & sarong<br />

3 pairs comfortable shorts 3 sets <strong>of</strong> under clothing<br />

1 pullover / jumper Sunscreen<br />

1 pair <strong>of</strong> sandals Insect repellent<br />

3 pairs <strong>of</strong> socks Toiletries<br />

3 T-shirts Washing soap or powder<br />

1 pair sturdy sport shoes<br />

1 waterpro<strong>of</strong> jacket / raincoat<br />

Linen i.e pillow case, blanket and bed sheets<br />

1 torchlight with spare batteries<br />

Spectacles, if worn, with retaining cord and a spare pairs<br />

1 hat and sunglass for sun protection<br />

Notebook and pen<br />

Optional items: Personal medication, camera etc.<br />

Money: Large sum <strong>of</strong> money should not be required. However, there will be<br />

opportunities to buy souvenirs at OBS.

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