OUTDOOR ADVENTURES [GOPENG, PERAK; 10 – 12 March 2022] [RIADAH] OUTDOOR ADVENTURES HiddenDate of Event Day Month Year RULES & REGULATIONS Please be advised that this event is for MALE & FEMALE Ages 15 and above + [Youth & Young Adults] i. No Refund will be entertained for cancellation within 48hrs of departure date or no show. ii. Cancellation notice must be given in writing to us at least 5 working days prior to departure. iii. Should the trip be POSTPONE by The Organiser due to bad weather or any high risk that is unavoidable, all payment will be transferred to a later date agreed by both parties.BILLING INFORMATIONFull Name* E-mail* Phone*SPONSORSHIP I am a sponsor, not a participant Sponsoring others mean you, yourself will not be participating in this programmeNumber of Participants*12345This event is fully booked. Donate to support our cause at bit.ly/infaq2021#1 PARTICIPANT DETAILSFull Name Same as in 'Billing Information' Phone Number Same as in 'Billing Information' E-mail Same as in 'Billing Information'Full Name* Phone Number*E-mail*An info pack will be sent via email upon registration Age*IC Number / Passport Details*Gender* Male Female T-Shirt Size* XS [Chest: 46cm, Length: 66cm, Shoulder: 38cm] S [Chest: 48cm, Length: 69cm, Shoulder: 41cm] M [Chest: 51cm, Length: 71 cm, Shoulder: 44cm] L [Chest: 53cm, Length: 74cm, Shoulder: 46cm] XL [Chest: 56cm, Length: 76cm, Shoulder: 48 cm] 2XL [Chest: 58cm, Length: 79 cm, Shoulder: 51cm] #2 PARTICIPANT DETAILSFull Name* Phone Number*E-mail*An info pack will be sent via email upon registration Same as email(s) above Enter a different email Enter E-mail Address* Age*IC Number / Passport Details*Gender* Male Female T-Shirt Size* XS [Chest: 46cm, Length: 66cm, Shoulder: 38cm] S [Chest: 48cm, Length: 69cm, Shoulder: 41cm] M [Chest: 51cm, Length: 71 cm, Shoulder: 44cm] L [Chest: 53cm, Length: 74cm, Shoulder: 46cm] XL [Chest: 56cm, Length: 76cm, Shoulder: 48 cm] 2XL [Chest: 58cm, Length: 79 cm, Shoulder: 51cm] #3 PARTICIPANT DETAILSFull Name* Phone Number*E-mail*An info pack will be sent via email upon registration Same as email(s) above Enter a different email Enter E-mail Address* IC Number / Passport Details*Age*Gender* Male Female T-Shirt Size* XS [Chest: 46cm, Length: 66cm, Shoulder: 38cm] S [Chest: 48cm, Length: 69cm, Shoulder: 41cm] M [Chest: 51cm, Length: 71 cm, Shoulder: 44cm] L [Chest: 53cm, Length: 74cm, Shoulder: 46cm] XL [Chest: 56cm, Length: 76cm, Shoulder: 48 cm] 2XL [Chest: 58cm, Length: 79 cm, Shoulder: 51cm] #4 PARTICIPANT DETAILSFull Name* Phone Number*E-mail*An info pack will be sent via email upon registration Same as email(s) above Enter a different email Enter E-mail Address* Age*IC Number / Passport Details*Gender* Male Female T-Shirt Size* XS [Chest: 46cm, Length: 66cm, Shoulder: 38cm] S [Chest: 48cm, Length: 69cm, Shoulder: 41cm] M [Chest: 51cm, Length: 71 cm, Shoulder: 44cm] L [Chest: 53cm, Length: 74cm, Shoulder: 46cm] XL [Chest: 56cm, Length: 76cm, Shoulder: 48 cm] 2XL [Chest: 58cm, Length: 79 cm, Shoulder: 51cm] #5 PARTICIPANT DETAILSFull Name* Phone Number*E-mail*An info pack will be sent via email upon registration Same as email(s) above Enter a different email Enter E-mail Address* Age*IC Number / Passport Details*Gender* Male Female T-Shirt Size* XS [Chest: 46cm, Length: 66cm, Shoulder: 38cm] S [Chest: 48cm, Length: 69cm, Shoulder: 41cm] M [Chest: 51cm, Length: 71 cm, Shoulder: 44cm] L [Chest: 53cm, Length: 74cm, Shoulder: 46cm] XL [Chest: 56cm, Length: 76cm, Shoulder: 48 cm] 2XL [Chest: 58cm, Length: 79 cm, Shoulder: 51cm] *ALLERGIES / ILLNESS*Please make sure to tell us upfront if you have any allergies or on any kind of medication so that we are prepared InshaAllah.Allergies / Illness* *EMERGENCY CONTACT*Kindly ensure to include the correct information in case of a health or safety emergency during the activity. Full Name* Phone Number*Relation* PROGRAMME FEESYour placement is only confirmed when payment is fully paid Placement is by first-come first-served basis Any payment made will not be refunded, but it is replaceable with any 3rd parties found by the participants Upon confirmed registration and payment, we will email you further details of the event For further clarification please contact us via WhatsApp: +60193107769 or email us at: events@alkhaadem.com Price Price: Total Fees RM 0.00 PAYMENT METHODChoose Payment Method*Online Transfer (FPX)Credit/Debit Card (Visa/Mastercard Only)ATM / Direct Transfer Please transfer the total amount to: 5623 5711 4347 FOQUS AKY SDN BHD (Maybank) Keep the payment slip and upload it below:Upload Proof of Payment*Max. file size: 1 GB.Where did you hear about this programme?* Al-Khaadem Facebook Al-Khaadem Instagram Al-Khaadem Whatsapp broadcast Al-Khaadem events/programmes Qalby App Recommendations from others Others Who?*(Family, friend, co-worker, etc.) Others*
