To: Joyful Fruit Day Secretariat, Department of Health Fax: 3011 5244 (Please send before 5 p.m. of 30 November 2010) Phone: 2117 3844 E-mail: [email protected]

‘Joyful Fruit Day’ 2010 Registration Form for Primary Schools and Special Schools

(1) School’s Particulars (Please complete in block letters and check the right  with ): Name of School: District:  Southern  Central and Western  Wan Chai  Eastern  Sham Shui Po  Yau Tsim Mong District  Kowloon City  Wong Tai Sin  Kwun Tong  Kwai Tsing  Tsuen Wan  Tuen Mun  Yuen Long  Sha Tin  Tai Po  North  Sai Kung  Islands Address: Telephone: Fax: Please provide URL of relevant webpage which School URL: contains snapshots or description of activities related to Joyful Fruit Day if you want to build a hyperlink in our thematic website

(2) Contact Person Name of Teacher: E-mail: Telephone: Fax: (If different from (If different above information) from above information)

(3) Total number of children in the school :______

(4) Recommended Activity (optional) Activity1  Campus Fruit Party Date:  27 April 2011 School Proposed Party Date： _ Activity 2  ‘Fruits‧ Sweet ‧ Home’ 3D Date: Model photos in a CD/DVD must Model Making Competition be submitted on or before 24 March 2011 to Unit A3, 8/F, Kin Tak Fung Industrial Bldg, 174 Wai Yip Street, Kwun Tong, Kowloon. Activity 3  Joyful Fruit Day Billboard School Proposed Competition Period:

1 Activity 4  Other activities School Proposed Period: Evaluation will be done in April and results will be announced, more details will be announced later.

(5) Requirement for DH materials (To protect the environment, please request on a need basis. Materials will be distributed in late January 2011) 1. ‘Joyful Fruit Day’ Banner  0.5m x 2m (may still use previous ‘Joyful Fruit Day’ Banners if available)  not necessary 2. Joyful Fruit Day Poster  *10/ 20/ 30 sheets (A2 single-sided colour poster)  not necessary *Delete where inappropriate 3. Joyful Fruit Day Billboard Poster  Chinese  English (A2)  Not necessary  *200/ 400/ 600/ 800/1000 sheets *Delete where inappropriate 4. To Parent: Feed Children with Fruit Daily to Improve  Chinese  English their Health  Not necessary (A4 pamphlet)  *200/ 400/ 600/ 800/1000 sheets *Delete where inappropriate 5. Participating schools are entitled to a certificate of compliments (Please specify the language version of school’s name to be printed)  Chinese  English  Not necessary Name of School： ______

(6) Media’s Visit We *welcome / do not welcome media to visit us for the event (*Delete where inappropriate)

School chop：______Date ______：

(Please call 2117 3844 if your school’s name is not found on the designated webpage 4 days after fax reply)

2