Introduction Weekend(IW) Participant Form (June 2019)
Come join us for a weekend of a lifetime to learn and experience the daily life on an expedition - or simply escape the intense pace of the city and venture into the unknowns of the Malaysian rainforest!🌳🌳🌳

Please fill out this form and make payment using the instructions you will receive through email.

Overview
A Raleigh International expedition is typically 10 weeks long and broken down into 3 phases. You will have the opportunity to meet and work with over 100 people your age from across the world on worthy community, environment and adventure projects. These projects have an important and lasting impact on the community and/or environment.

Previous Raleigh International projects include building gravity feeds to supply fresh water to villages, building houses, schools, bridges and libraries; geological surveys, marine conservation work, working with rhinos & orang utans; as well as trekking in the heart of Borneo – Long Pasia, sea kayaking in Chile and trekking across some of the beautiful Southern Highlands of Tanzania. There are approximately 10 expeditions a year and expeditions are currently in Malaysia Borneo, Costa Rica/Nicaragua, Nepal and Tanzania.

This Introduction Weekend is designed to simulate the rigours and challenges you will face on expedition. The details for the upcoming Introduction Weekend are as follow

Date & Time
From: 7pm 14 June 19 to 7pm 16 June 2019
Meet up point: International Youth Centre, Cheras (https://goo.gl/maps/njkecYDm1Cq)


We would advise you to get your family/friends to pick you up at the end of the weekend at the IYC Kuala Lumpur. However, if you opt to drive, there will be a place for you to park your car near IYC. This is at your own risk.

Early bird participation fee: RM 160 (payment before 15 May 19)
Normal participation Fee: RM190
Fees include: Meals, accomodation, insurance, one year membership, T Shirt)

More information will be provided to participants upon submission of this form and payment confirmation.

This is also an opportunity for you to prep yourself for Raleigh Malaysia's first International Expedition in August! πŸ€©πŸ•οΈ

Any further enquiries:
Email: iw.secretariat@raleighinternational.org.my

Email address *
First Name (as per NRIC) *
Your answer
Last Name (as per NRIC) *
Your answer
Preferred Name / Nickname
Your answer
Birthday *
MM
/
DD
/
YYYY
Gender *
NRIC / Passport Number *
Your answer
Nationality *
Mobile number *
Please input number according to this format : + Country Code - Area Code - Number [i.e. + 60 - 12 - 345 6789]
Your answer
Residential Address *
Your answer
Occupation *
Your answer
Company / Institution
Where are you currently working or studying?
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Raleigh International KL. Report Abuse - Terms of Service