Application Form - The University of Hong Kong

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Lung Fu Shan Environmental Education Centre

Group Application Form for Creative Workshop

Tel : 2975-9031 Fax : 2975-9030

Address : No.50 Kotewall Road, Mid-Levels, Hong Kong

Email: lfseec@hku.hk Webpage: www.hku.hk/lfseec

Part I Contact Details

Name of organization:

(Chinese) (English)

Address:

Contact no:

_______

(Company)

_________

(Mobile) Contact Person:

Fax: Email:

Part II Workshop Details

Workshop:

GLASS REUSE AND RECYCLE

(Code: WSB07)

Number of Participants:

Proposed Date of Workshop:

( 6-20 persons)

(dd/mm/yy)

Start Time: A.M. / P.M (2 hours)

Proposed Venue

(Please refer to

“Point to note no.1”) :

Lung Fu Shan Environmental Education Centre (For 6-20 participants)

Kennedy Town Environmental Exhibition Corner (For 6-20 participants)

Others, please specify address (Only for more than 20 participants)

Target group: Age 15 or above

Junior High School High School Adults Elderly

Disable Access (Please refer to “Points to note” no.2) :

Yes (Please specific no of people :__________) No

Transport Access:

Bus 13 / Mini Bus 3 - Central (City Hall) to Kotewall Road (Mid-levels)

You can also reach the Centre by taking a 10 minute walk from The University of Hong Kong (opposite

Robert Black College) towards the Lung Fu Shan Country Park.

Points to note:

1. Workshop will only be provided as outreach (i.e. arrange in specific venue other than Lung Fu Shan

Environmental Education Centre) if there are more than 20 participants

2. If disabled access is required, prior arrangement of 1 week with the Centre’s staff is required.

3. The arranged workshop will be cancelled if typhoon signal no. 8 or higher, red or black rainstorm warning or landslip warning is hoisted/ issued 2 hours before the workshop starts. (HK Observatory

Hotline: 1878200) In the case of cancellation due to bad weather, the workshop will be rescheduled.

4. Participants are insured for the workshop if he/she follows the instructions from our staff strictly.

5. Please contact our staff at least 2 days in advance if you want to cancel the appointment.

6. Please fax (2975-9030) or email (lfseec@hku.hk) the filled form to us at least two weeks in advance.

Application is on first-come first-served basis. Your request will be considered successful upon receiving confirmation email from the Centre. We only accept applications for activities within 6 months.

7. The activity will be cancelled without alternative arrangements in the case of participants being late for

15mins or more counting from the START time.

Authorized Signature Organization Chop

__________________________________ ____________________________________

For Official Use: check confirm Submission Date: _________________________

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