REGISTRATION FORM

PROGRAM
DAY 1 (5 DECEMBER 2014, FRIDAY)

3.00 pm - 7.00 pm

Registration

Name

5.00 pm - 7.00 pm

Pre Seminar Workshop

Topic: Yoga Therapy & Dance Without Limits

Designation: __________________________________________________________

7.00 pm

Dinner (for Pre-Seminar Workshop participant)

DAY 2 (6 DECEMBER 2014, SATURDAY)

8.00 am - 9.00 am

Registration

9.00 am - 9.45 am

Plenary 1 : Topic: Accessible Transportation &

Accessibility

9.45 am - 10.30 am

Plenary 2 : Topic : Electrical Stimulation

Techniques for Dysphagia Management

10.30 am - 10.45 am

COFFEE BREAK

10.45 am - 11.45 am

OPENING CEREMONY

Arrival of Guests

Arrival of DYMM Tuanku Raja Zarith Sofiah

binti Almarhum Sultan Idris Shah

:
:

Speech by Chairman : Johor Cerebral Palsy

Association
Key note address by DYMM Tuanku Raja Zarith
Sofiah binti Almarhum Sultan Idris Shah

: ______________________________________________________________

Organisation: _________________________________________________________
Address : ______________________________________________________________
______________________________________________________________

Tel

: ________________________

Email

: ______________________________________________________________

PAYMENT/INFORMATION

1. Registration fee for Seminar (Sat-Sun : 6-7/12/14)

2. Registration fee for Pre-Seminar Workshop
3. Accommodation @ M-Suites Hotel

Plenary 3 : Topic: Mental Wellness in Cerebral

Palsy

12.30 pm - 2.00 pm

LUNCH

4. Meals :

2.00 pm - 2.45 pm

Plenary 4: Topic: Recreational & Parks

Facilities for Special Needs Children or Persons

5. Registration for our students parents :

2.45 pm - 3.30 pm

Plenary 5 : Topic: Updates on Evaluation and

Treatment in Cerebral Palsy

3.30 pm - 4.00 pm

COFFEE BREAK

4.00 pm - 5.30 pm

Concurrent Workshops
Topic:
i.
Taping for Tone Management & Function
ii.
Yoga Therapy & Dance Without Limits
iii. Intervention for children with Cerebral
Palsy: A Holistic Approach
iv. Workshop on Electrical Stimulation
Techniques for Dysphagia Management
Fellowship Dinner

RM 250
RM 50
Required

(Twin Sharing @ RM180 per night)

Pls Tick

Registration

8.30 am - 9.15 am

Plenary 6: Topic: Transition from special school to

PDK - JKM

9.15 am -10.00 am

Plenary 7: Topic: Services for Children with

Cerebral Palsy: A Model for Success

10.00 am -10.15 am
10.15 am -11.00 am

: COFFEE BREAK
: Plenary 8: Topic: Addressing Communication
Problems - Speech Therapy
11.00 am - 11.20 am : CLOSING CEREMONY
Announcement of the Next Seminar Venue & Host
by Chairman of Nat. Council for Spastic Childrens
Associations in Malaysia
11.20 am - 11.35 am : Closing speech by Deputy Chairman : Johor Cerebral
Palsy Association
12.00 noon
Lunch, Goodbye & Thank you

Not
Required

(PAYMENT DIRECT TO HOTEL UPON CHECK IN)

Veg :

PARTNERSHIP FOR SUCCESS:

Facing Uncertain Futures

Non Veg :
RM 50

TOTAL PAYMENT : RM

..
Signature / Date
Cheque / Draft No : _______________________
Bank : ___________________________________

DATE

: 5th 7th December 2014

VENUE : M-Suites Hotel

16, Jalan Skudai, Straits View,
80200 Johor Bahru

Payment :
* Please make Cheque / Bank Draft payable to

PERSATUAN CEREBRAL PALSY JOHOR

DAY 3 ( 7 DECEMBER 2014, SUNDAY)

7.30 am - 8.30 am

19th National
Seminar on
Cerebral Palsy
-JOHOR-

(Fri: 5/12/14) - (Limited to 100 participants)

11.45 am - 12.30 pm

8.00 pm

Fax : ______________________

For further enquiries :

Masny Sapuan
Maslizawati Osman
Ushananddini Karthikasan
Lekha Nandey (019-7555600)

Johor Cerebral Palsy Association

138, Jalan Dato Menteri, 80100 Johor Bahru.

Tel : +607-223 5452 Fax : +607-223 4029
Email : spasticjohor@yahoo.com
Website : www.cpjohor.org.my

ORGANISED BY :
Johor Cerebral Palsy Association
On behalf of the

National Council of Spastic

Childrens Associations in
Malaysia