The 46th Annual Meeting of the Pacific Association of Pediatric Surgeons together with the Annual Scientific Meeting

of the Australian and New Zealand Association of Paediatric Surgeons

7th -11th April 2013, Hunter Valley, NSW, Australia

CONTACT INFORMATION
CONFERENCE SECRETARIAT
PO Box 180 MORISSET NSW 2264 AUSTRALIA Tel: +61 2 4973 6573 Fax: +61 2 4973 6609 Email: info@paps2013.com.au

INVITATION TO ATTEND
Dear Colleagues, Welcome to the Hunter Valley, host of the 2013 Pacific Association of Pediatric Surgeons Conference. The Conference will be held jointly with the Australian New Zealand Association of Pediatric Surgeons (ANZAPS) between 7-11, April 2013. Surrounded by world famous wineries, the location for the Conference is set in a picturesque area of Australia. From the largest regional airport in Australia, Newcastle Airport, the venue is only a little over an hour away. Plans are already underway to make the 46th Conference of the Pacific Association of Pediatric Surgeons a truly unique and memorable experience, both socially and scientifically. If you have an attachment to your own set of golf clubs dont forget to bring them along, with an 18 hole championship golf course on site there will be ample time for nine or eighteen holes. Why not extend your visit and explore Australia with its unique spectacular scenery, flora and fauna! Dr Rajendra Kumar Chairman, Local Organising Committee for the 2013 PAPS - ANZAPS Conference

Local Convenor Dr Rajendra Kumar (Raj) Tel: +61 2 4921 3386 Fax: +61 2 4921 3599 Email: Rajendra.Kumar@hnehealth.nsw.gov.au

LOCAL ORGANISING COMMITTEE

Dr Rajendra Kumar John Hunter Childrens Hospital, NSW Chairman, Local Organising Committee Prof Ralph Cohen The Childrens Hospital at Westmead, NSW Prof Patricia Davidson John Hunter Childrens Hospital, NSW Prof Andrew Holland The Childrens Hospital at Westmead, NSW Prof John Hutson Royal Childrens Hospital, VIC Dr Ashish Jiwane Sydney Childrens Hospital, NSW Dr Sanjeev Khurana Women and Childrens Hospital, SA Prof Roy Kimble Royal Childrens Hospital, QLD Dr John Pitkin John Hunter Childrens Hospital, NSW Dr Gerard Roy John Hunter Childrens Hospital, NSW Dr Grahame Smith The Childrens Hospital at Westmead, NSW
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DESTINATION
The Hunter Valley is located just a short 2 hours drive north of Sydney and a leisurely 1 hour drive from Newcastle. This location is renowned as Australias oldest most well-known wine regions, offering culture and relaxation in one location. There is no shortage of choice of things to do with over 60 restaurants, 120 wineries, 18 golf courses and a vast range of activities. If you are hunting for something new to do, you may wish to experience a glorious sunrise from a hot air balloon, horse ride through a vineyard, browse through galleries and antique shops or see the Valley by horse and carriage or bicycle! Add to this a wide array of traditional and contemporary delights expected of a world famous wine region, as well as a myriad of surprises, a rich diversity of pursuits and people and you will find the Hunter Valley one of the most vibrant and relaxing places to visit.

GETTING THERE
By Air: Newcastle Airport is approximately a 45 minute drive to the Hunter Valley. Limited daily flights from Sydney, Melbourne, Brisbane and NE Queensland by Qantas Link, Virgin Blue & Jetstar. Daily flights from Sydney with Aeropelican and flights also operate through Brindabella Airlines. Airport Transfers: If there is a group of 10 or more flying in together we can assist with booking airport transfers on your behalf. Please email the Secretariat directly on info@paps2013.com.au

For individual airport transfers some suggestions are listed below: Almighty Transport & Transfers Newcastle Airport Information Service Newcastle Hire Car By Road: Located just over 2 hours drive north of Sydney. By Rail: Enjoy viewing the beautiful landscapes on the way to Wine Country through the window of a train. Stations at Maitland, Newcastle or Morisset. Connecting buses from Maitland and Newcastle are available. For more information on the Hunter Valley visit www.winecountry.com.au

CALL FOR ABSTRACTS

The organising committee of PAPS & ANZAPS 2013 are pleased to invite submissions of abstracts to be presented at the joint Conference being held in the Hunter Valley, NSW, Australia from 7 11 April 2013. Please log onto the conference website www.paps2013.com.au to submit your abstract/s. All abstract submissions are to be done online and you can follow the process step by step. You will be required to upload your abstract as a word document.

VENUE
The Crowne Plaza Hunter Valley is located less than 2 hours drive north of Sydney, is surrounded by picturesque vineyards and its own golf course and framed by the rugged Brockenback Ranges. This award winning hotel epitomises the best of hospitality in the Hunter Valley.

Call for Papers Deadline: 15th December 2012

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program and speakers

SATURDAY 6th April SUNDAY 7th April MONDAY 8th April Breakfast 06:45 - 08:30 Short Oral Presentations Session 1 07:00 - 08:00 PAPS Publications Committee Meeting 08:00 - 12:00 ANZAPS Executive Meeting 06:30 - 08:30 TUESDAY 9th April WEDNESDAY 10th April THURSDAY 11th April Breakfast 06:45 - 08:30 Short Oral Presentations Session 2 07:00 - 08:00 Breakfast 06:45 - 08:30 Short Oral Presentations Session 3 07:00 - 08:00 Breakfast 06:45 - 08:00 Short Oral Presentations Session 4 07:00 - 08:00

Scientific Session 1 08:30 - 10:00

ANZAPS RACS Masterclass 08:30 - 09:15

Scientific Session 3 08:30 - 09:20 GAP Lecture 09:20 - 10:00 Morning tea 10:00 - 10:30

Scientific Session 5 08:30 - 10:00

Morning tea 10:00 - 10:30 Scientific Session 2 10:30 - 12:00 RACS Board of Pediatric Surgery Meeting 1:30 - 17:30 PAPS Board Meeting 12:30 - 17:00 GANS Lecture 12:00 - 12:45 PAPS, the next 15 years 12:45 - 13:15 ANZAPS Annual General Meeting 13:30 - 16:00 Optional Activities Tennis & Golf Presidents Dinner (by invitation) Transport at 18:30 for dinner at 19:00

Morning tea 10:00 - 10:30

Scientific Session 4 10:30 - 12:00 Conference Tour Buses pick-up at 10:00 ANZAPS RACS Visitor 12:00 - 13:00

Scientific Session 6 10:30 - 12:00

Scientific Session 7 10:30 - 12:00

PAPS Annual General Meeting 13:00 - 14:30 PAPS Exit Board Meeting 14:30 to 15:30

Welcome Reception 18:00 - 20:00

Free Evening

Conference Dinner Transport at 17:30 for dinner at 18:30

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registration
Early bird Fee On or before 31 January 2013 Standard Fee On or before 15 March 2013 Late Registration Fee After 15 March 2013 INCLUSIONS IN REGISTRATION Attendance at Sessions All Official Documentation Morning/Afternoon Tea as scheduled Lunches as scheduled Welcome Reception Conference Dinner Conference Tour Entrance to Exhibition

HOW TO REGISTER
Register Online
Visit the website www.paps2013.com.au and follow the link to the online registration. Payment for registration can be made by credit card or an invoice can be requested. A summary of your registration and invoice will be emailed to you within three to five working days.

Each person attending the conference needs to complete their own registration form, and submit it to the Conference Secretariat. This includes invited speakers, chairpersons and all other delegates. Please read the information in this booklet carefully before completing the form. Registration and accommodation will only be confirmed on receipt of payment.

Member AU$960 AU$1060 AU$1160

Non Member AU$1010 AU$1110 AU$1210

Trainee AU$700 AU$800 AU$900

Accompanying Person AU$330 AU$330

Post Form
AU$330
Mail the registration form together with your cheque or credit card payment to: PAPS ANZAPS Conference Secretariat PO Box 180 Morisset NSW 2264 Australia A summary of your registration and an invoice will be emailed to you within three to five working days.

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Fax Form
Fax the completed registration form (both sides) together with your credit card payment to: Fax: +61 2 4973 6609 A summary of your registration and an invoice will be emailed to you within three to five working days.

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PAYMENT OF FEES

Payment of fees must accompany all registrations and may be made by cheque, credit card (MasterCard or Visa only) or direct deposit (please ensure remittance advice is emailed to info@ paps.com.au). Cheques are to be made payable to the PAPS Conference.

INSURANCE

ACKNOWLEDGEMENTS

Your registration will be acknowledged in writing with confirmation of your requirements according to your registration form. Bookings will be confirmed only on receipt of payment.

CANCELLATIONS AND REFUNDS

Cancellations received:

Cancellations must be notified in writing to the conference secretariat. Before 12 February 2013 will incur a A$110 cancellation fee Before 20 March 2013 will incur a 50% refund of fees paid After 20 March 2013 there will be no refund.

Registration fees do not include insurance of any kind. It is strongly recommended that at the time you register for the conference and book your travel you take out an insurance policy of your choice. The policy should include loss of fees/deposit through cancellation of your participation in the conference, or through cancellation of the conference, loss of international/ domestic air fares through cancellation for any reason, loss of tour monies through cancellation for any reason including airline or related services strikes, failure to utilise tours or pre booked arrangements due to airline delay, Force Majeure or any other reason, medical expenses (including sickness and accident cover), loss or damage to personal property, additional expenses and repatriation should travel arrangements have to be altered. The conference managers cannot take any responsibility for any participant failing to arrange their own insurance. This insurance is to be purchased in your country of origin.

EXHIBITON AND SPONSORSHIP

DRESSCODE

All sessions and social functions are smart casual. Strictly no ties to be worn.

A trade display will be held during the Conference. A list of exhibitors will be provided at the Conference. Companies are also invited to take up Conference Sponsorship. For more information on exhibition and sponsorship opportunities contact the Secretariat on Tel: +61 2 4973 6573, Fax: +61 2 4973 6609 or Email: info@paps2013.com.au

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Crowne Plaza

accommodation

(Conference Venue)
Crowne Plaza is located in the heart of Australias oldest wine region offers premium Hunter Valley accommodation with lush vineyards and scenic golf course greens on our doorstep. Each hotel room has contemporary and modern furnishings with a balcony or courtyard, a luxurious bathroom with a full-sized bath and separate walk-in shower, broadband internet and plasma television with movies on demand. Room Rates (per room, per night): Single room $245 (1 x King bed, breakfast daily for 1 person) Double room $270 (1 King bed, breakfast daily for 2 people) Twin Room $270 (2 x Double beds, breakfast daily for 2 people) 2 bedroom Villa (Twin) $415 (2 x King beds, breakfast daily for 2 people) 2 bedroom Villa (Triple) $440 (1 x King bed and 2 x Double beds, breakfast daily for 3 people) 3 bedroom Villa (Triple) $545 (1 x King bed and 2 x Queen beds OR 1 x King bed, 1 x Queen bed and 2 x Single beds, breakfast daily for 3 people).

Potters Hotel Brewery Resort

(5mins drive from Conference Venue)
Set in the heart of Wine Country, Potters offers a range of accommodation to suit everyones needs. Situated on eleven acres of landscaped gardens, Potters provides the perfect setting for your Hunter Valley experience.

Relax and unwind around the pools or in the heated spa, play a game of tennis or boules, or simply take it easy with a stroll around the grounds. Brisbane Room Rates (per room, per night) Villa - $185 (Min 3 night stay) Rates are inclusive of continental breakfast midweek & hot breakfast on weekends (up to 2 adults). Rates also include transfers to the conference venue scheduled in accordance with the program.

Hunter Valley YHA

(10mins drive from Conference venue)

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Crown Plaza Hunter Valley

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Port Macquarie

The Hunter Valley YHA is a small hostel with 13 rooms. The rooms consist of two 8 bed dorms, four 4 bed dorms, 4 double/twin rooms and 3 double en-suite rooms. Cheaper rates available for YHA members. Room Rates: 8 bed dorm $30 per person 4 bed dorm $34 per person Twin/double $82 per room - sleeps 2 Double/ensuite $95 per room - sleeps 2

Werakata National Park

PAPS 2013

Potters Hotel Brewery Resort

Nulkalba

Newcastle Blue Mountains

Hunter Valley YHA

Sydney

YHA

Cessnock

Potters Hotel Brewery Resort

Crowne Plaza Hunter Valley

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Deposit

deposit & cancellation terms

Check in and check out
Hotel check in time is 15:00 hours. If you are to arrive before this time it is probable that you will not be able to gain access to your room. To guarantee a room to be available for an early arrival, you will need pre-register and pay for your room for the night before. If required please indicate on your registration form. Hotel check out time is 11:00 hours.

Hotel accommodation bookings must be accompanied by a credit card guarantee in order to secure your reservation. Your credit card number will be passed on to the hotel and you must settle the balance of your account on check out. The hotel holds your credit card as a guarantee only and by providing the card number, you are also providing authorisation for the hotel to charge this card if you fail to arrive at the hotel on the date indicated. Your credit card will not be charged until you check out (or fail to arrive), and approve the account.

Cancellations (Accommodation)
Crowne Plaza In excess of 30 days prior to arrival - no charge 30 - 15 days prior to arrival - 70% of total accommodation Within 14 days of arrival - 100% of total accommodation Potters Hotel Brewery Resort Cancellations and changes must be lodged by 2.00pm, 2 days prior to the scheduled arrival. Failure to cancel within 2 days of arrival date will result in one nights accommodation being charged.

How to Book
Crowne Plaza & Potters Hotel Brewery Resort Please complete the accommodation section of the registration form. The secretariat will then book your room and send confirmation of reservation. Any change to a reservation must be notified to the Secretariat and not directly to the hotel. Hunter Valley YHA All bookings are to be made direct with the YHA by visiting http://www.yha. com.au/hostels/nsw/hunter/hunter-valley/ or calling 02 49913278. To receive the above rates you will need to quote PAPS2013 if calling or enter PAPS2013 into the comment/question section in the online booking.

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An exciting social program including a Welcome Reception, Conference Dinner and Conference Tour will be open to all delegates and these functions will be included in the registration fee.

social program

WELCOME RECEPTION

Sunday 7th April Included for all registered persons Time: 18:00 - 20:00 Venue: Crowne Plaza Additional Tickets: AU$85 Dress: Smart Casual, No Ties As a welcome to the PAPS & ANZAPS Conference, enjoy some drinks and canaps whilst catching up with colleagues. You will also have the opportunity to meet some local Australian wildlife.

CONFERENCE TOUR

One day tour to Port Stephens for a Dolphin Watching Cruise and Sand Dune Tour Tuesday 9th April 2013 Included for all registered delegates Time: 10.00 - 18:00 Additional tickets: $120 Dolphin Watching Moonshadow Cruises offer the largest and most luxurious vessels in Port Stephens and Newcastle ensuring a memorable and comfortable cruising experience. The 1.5 hour cruise has a 99% success rate in dolphin sightings. Experience entertaining and informative commentary and scenic harbour cruise including spectacular Tomaree and Yacaaba headlands. The Moonshadow vessels include triple 360 degree viewing decks, open sundeck, huge boom nets, waterslide, hydrophones, licensed bars and underwater cameras to view the marine life at close range.

Stockton Bight Sand Dune Tour The Stockton Bight Sand Dunes need to be seen to be believed... covering an area of over 2,500 hectares along the 32 kilometre long Stockton Beach. Dunes of brilliant white sand climb up to 30-40 metres high with slopes up to 60. Experience beach and dune driving in purpose built vehicles, a visit to Tin City (a makeshift fishing village), World War II and historical sites and dont forget sandboarding down the huge dunes! Tour includes transfers to Port Stephens and buffet lunch on board the Moon Shadow Vessel.

CONFERENCE DINNER

Wednesday 10th April Included for all registered persons Time: 17:30 - 23:30 Venue: Hope Estate Additional Tickets: AU$135 Dress: Smart Casual, No Ties Hope Estate is perfectly situated in the heart of the Hunter Valley, set on 420 acres of rolling countryside and picturesque vineyards. Tonight is an opportunity to enjoy a sumptuous meal, some of the Hunters finest wines, and an opportunity to network with colleagues, old and new. Delegates will also be given an exclusive access tour of the winery prior to the start of the dinner.

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visa information
It is recommended that you arrange your visa as soon as possible as it can take 6-8 weeks to be processed. International Visas Australian visa application All travellers to Australia, other than Australian and New Zealand citizens, are legally required to hold a valid visa to travel to Australia. Visas are either issued electronically (ETA) with nothing appearing in the passport or through application where a sticker is required in the passport (Non-ETA). It is advised to apply for your visa as soon as possible to ensure processing time. The minimum time frame stated for an Australian visa application is six (6) weeks. Australian visa application supporting documentation Delegates applying for a non-ETA visa may present their paid confirmation letter to an Australian visa office to support their application. No other letters will be issued for this purpose. As a Conference delegate, you are not guaranteed to be granted a visa. Types of visas available for travel to Australia for attending a Conference: 1. Short Validity Business Electronic Travel Authority (ETA) visa What is the Short Validity Business ETA visa? Officially known as the 977 visa, the Short Stay Validity Business ETA is appropriate for visits to Australia for business meetings, conventions, conferences or a short term project requiring a high level of skill. Business visas are subject to a condition prohibiting work that could otherwise be undertaken by any Australian citizen or permanent resident. It replaces the visa label or stamp in a passport and removes the need for application forms. ETAs are issued within seconds of being requested through computer links between the Australian Immigration Department, travel agents, airlines and specialist service providers around the world. In most cases no fee applies to these visas.

Who can apply for this type of visa? Andorra Austria Belgium Brunei Canada Denmark Finland France Germany Greece Hong Kong SAR Iceland Ireland Italy Japan Liechtenstein Luxembourg Malaysia Malta Monaco Netherlands Norway Portugal San Marino Singapore South Korea Spain Sweden Switzerland Taiwan (a) UK (b) USA The Vatican

a. Taiwan passport holders can be processed for an ETA only if resident in and applying in Taiwan. b. UK passport holders whose nationality is British National (Overseas) can be processed for an ETA only if resident in and applying in Hong Kong SAR. How long is the visa valid for? The ETA or 977 visa allows multiple visits (for up to 3 months for each visit) within 12 months of visa grant. Application Procedure Visas can be applied for either online or through participating airlines and travel agents. In most cases, eligible applicants do not need to go to an Australian mission overseas or fill in forms to apply for an ETA. By accessing the Australian Government , Australian Electronic Travel Authority website www. eta.immi.gov.au, the visa applicant will see the following heading: Welcome to the Australian Governments Electronic Travel Authority System. At the top left hand side of that screen, the visa applicant will see a tab suggesting that they Apply for ETA. The visa applicant should click on that tab and then proceed to lodge their visa application online. When asked to choose the kind of ETA for their needs, they should indicate that they are applying for a short stay validity Business ETA. Once visa processing is complete, the visa applicant will be provided with a personalised reference number to keep. There will be no visible visa in their passport but their visa will exist electronically and will be visible when read at passport control, on their arrival in Australia. For more information visit: http://www.eta.immi.gov.au/

visa information
2. eVisitor For passport holders from one of these EU and European ETA eligible countries who have an email address to communicate electronically with the Department: Andorra Hungary Poland Austria Iceland Portugal Belgium Ireland Romania Bulgaria Italy San Marino Cyprus Latvia Slovakia Czech Republic Liechtenstein Slovenia Denmark Lithuania Spain Estonia Luxembourg Sweden Finland Malta Switzerland France Monaco United Kingdom Germany Netherlands Vatican City Greece Norway You can apply online, free of charge, at: http://www.immi.gov.au 3. Non-Electronic Travel Authority - Non-ETA What is the 456 Business (Short Stay) Visitor visa? The 456 Business (Short Stay) Visitor visa can be applied for by completing the Form 456. This form can be obtained from an Australian mission or it may be down-loaded from the Departments website: www.immi.gov.au/allforms/ pdf/456.pdf A fee applies for this visa. The 456 Business (Short Stay) Visitor visa is the appropriate visa for individuals who wish to visit Australia to attend a Conference and do not come from one of the ETA countries, listed above. This visa can only be applied for outside Australia. When applying for a 456 Business (Short Stay) Visitor visa at an Australian overseas mission, nationals of non-ETA countries, will be expected to provide adequate documentation about their background, financial situation and other relevant details as required, regardless of their professional /social status or standing.

Who can apply for this type of visa? Individuals from countries other than those listed in the table above, non-ETA countries. How long is it valid for? The 456 Business (Short Stay) Visa is valid for up to 3 months. Application Procedure To lodge an application, the invited event participant must provide the following documentation along with the completed Form 456: Two recent passport photos; The visa application charge payment, or evidence of payment eg: bank deposit slip (if it was deposited in the embassys bank account) or credit card receipt (if it was paid by credit card); A valid passport. Additional information may be requested and you will be advised by the Mission if this is the case. Where can I find an Australian mission? For information on locations and contact details of Australian missions visit the World Index at http://www.immi. gov.au/contacts/overseas.htm Note: You will be required to substantiate all information provided in your application. You can expect to come under a certain amount of scrutiny as a normal part of the visa assessment process. As a Conference delegate, you are not guaranteed to be granted a visa.

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general information
CLIMATE
The climate in the Hunter Valley is moderate, similar to a Mediterranean climate. The average temperature in April is 24C. For more information on average temperatures, rainfall and lots of other great information about Australian destinations, visit www.australia.com

QUARANTINE
Australia is free from many plant and animal diseases prevalent in other countries. Very strict quarantine rules apply to the import of animals and plants, which cannot be brought into the country without prior application. Animal and plant products are also restricted. For more information see the Information for International Travellers on the Australian Quarantine and Inspection Service (AQIS) website, which you can access by visiting www.affa.gov.au

EXCHANGE RATE
Australian currency fluctuates on the international monetary exchange. Therefore we recommend checking with your local bank for the exchange rate just prior to your arrival in Australia. Australian currency is the dollar. Coins have values of 5, 10, 20 and 50 cents, and AUD$1 and AUD$2; notes have values of AUD$5, AUD$10, AUD$20, AUD$50 and AUD$100.

GOODS AND SERVICES TAX (GST) / TOURIST REFUND SCHEME (TRS)

Since 1 July 2000, Australia has adopted a new taxation system incorporating the Goods & Services Tax (GST). All prices quoted in this brochure are inclusive of GST, unless otherwise specified. As part of this new taxation system, the Australian Government introduced the Tourist Refund Scheme (TRS). The scheme is administered by the Australian Customs Department and took effect on 1 July 2000. The TRS enables travellers departing Australia to claim a refund of the Goods and Services Tax (GST) and Wine Equalisation Tax (WET) paid on goods bought in Australia. The refund applies to goods over the value of A$300 when items are purchased in the same shop within 30 days of your departure from Australia. Should an item be too large to take onto the aircraft as hand luggage you will need to visit the TRS clearing office at the international airport with the item and receipt. The receipt will be stamped TRS sited and at that point you can check the large item in with your luggage. Once you have cleared customs you can collect your refund from the TRS desk by showing your receipt or items purchased. It does not apply to services or goods consumed or partly consumed in Australia, however the goods can be used before departing Australia.

BANKS AND FOREIGN EXCHANGE

Banking hours are generally Monday to Thursday 09:00-16:00 and Friday 09:0017:00. All the major banks are equipped to exchange foreign currency. You can also exchange foreign currency any day or night at the airport or at Crowne Plaza, the Conference Venue.

ELECTRICITY
Electrical current is 240/ 250V, AC 50Hz. The Australian three- pin power outlet is different from that in many countries, so you will need an adaptor. If your appliances are 110V, check if there are a 110/ 240V switch. If not, you will need a voltage converter. Universal outlets for 240V or 110V shavers are usually found in leading hotels.

TIPPING
Tipping is not as widespread or regulated in Australia as it is in some other parts of the world. Tipping is your prerogative, a reward for service. It is customary to tip hotel porters and restaurants if good service is received. Tips for taxis are regarded as optional.

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PAPS & ANZAPS CONFERENCE REGISTRATION FORM

Please print clearly and keep a photocopy of this form for your records. The information below will be reproduced in the delegate list at the Conference and will be used for all mailings. Please complete the form and return to Conference Secretariat via fax: +61 2 4973 6609 or email: info@paps2013.com.au

B: REGISTRATION FEES
Please Circle Member Non Member AU$1010 AU$1110 AU$1210 Trainee AU$700 AU$800 AU$900 Accompanying Person AU$330 AU$330 AU$330

A: DELEGATE DETAILS
Title: Prof, A/Prof, Dr, Mr, Mrs, Ms, other.....................) Given Name:.................................................................................................................................................................. Family Name:................................................................................................................................................................ Organisation/Institution:.......................................................................................................................................... Department: ................................................................................................................................................................ Position:.......................................................................................................................................................................... Postal Address:............................................................................................................................................................. Suburb:............................................................................................................................................................................ State:..............................................................................................Postcode:............................................................... Tel: (...........)...................................................................................................................................................................... Mobile: (...........).............................................................................................................................................................. Email:............................................................................................................................................................................... Preferred Name on Badge:....................................................................................................................................... Special Needs (dietary, access etc):....................................................................................................................... ........................................................................................................................................................................................... ........................................................................................................................................................................................... If you do not want your details included in the delegate list on site, please tick

Early bird Fee On or before 31 January 2013 Standard Fee On or before 15 March 2013 Late Registration Fee After 15 March 2013

AU$960 AU$1060 AU$1160

B. Sub-Total Registration Fee: A$...............

C: ACCOMMODATION
I do not require the Secretariat to book accommodation for me. Hotel Room Types Single Double Twin Crowne Plaza (Conference Venue) 2 bedroom Villa (Twin) 2 bedroom Villa (Triple) 3 bedroom Villa (Triple) Potters Hotel Brewery Resort I wish to share my room with: .......................................................................................................................................... Please Note the Conference Secretariat does NOT arrange shared accommodation if you wish to share you must find someone to share with. Crowne Plaza: One nights deposit or credit card guarantee must be given to secure your booking. Potters Hotel Brewery Resort: Accommodation must be paid for in full with your registration fees. C. Sub-Total Accommodation: A$............... Villa Cost per room per night A$245 A$270 A$270 A$415 A$440 A$545 A$185 Check in Date
dd/mm/yy

Check out date

dd/mm/yy

Total $ $ $ $ $ $ $

/4/13 /4/13 /4/13 /4/13 /4/13 /4/13 /4/13

/4/13 /4/13 /4/13 /4/13 /4/13 /4/13 /4/13

ACCOMPANYING PERSON
Given Name:.................................................................................................................................................................. Family Name:................................................................................................................................................................ Special needs (dietary, access etc):....................................................................................................................... ........................................................................................................................................................................................... ...........................................................................................................................................................................................

PAPS & ANZAPS CONFERENCE REGISTRATION FORM

D: SOCIAL FUNCTIONS
These functions are INCLUDED for registered persons (excluding day registrations). If you would like to bring a partner or friend to the event, please complete below and include payment with your registration. EVENT WELCOME RECEPTION CONFERENCE DINNER DATE Sunday 7 April Wednesday 10 April COST Included for all registered persons Extra Ticket: $85 Included for all registered persons Extra Ticket: $135 No. of Tickets $ $ TOTAL

D. Sub-Total Social Function Fees: A$...............

E: CONFERENCE TOUR
This tour is INCLUDED for registered persons (excluding day registration). If you would like to bring a partner or friend to the event, please complete below and include payment with your registration. EVENT CONFERENCE TOUR DATE Tuesday 9 April COST Included for all registered persons Extra Ticket: $120 No. of Tickets $ TOTAL

E. Sub-Total Conference Tour Fees: A$...............

F: GOLF & TENNIS

Please tick below if you are interested in playing tennis and/or golf on Monday 8th April. Further information will then be emailed to you. I am interested in playing golf I am interested in playing tennis

G: PAYMENT
Section B Section C Section D Section E TOTAL Registration Fees Accommodation (only complete amount if staying at Potters Hotel Brewery Resort) Social Functions Conference Tour A$ A$ A$ A$ A$

I have read and agree to all the terms and conditions in this registration brochure Please find enclosed cheque/money order payable to the PAPS Conference OR Please charge the total amount to the following credit card (Visa or MasterCard will receive a 2.0% surcharge) MasterCard Credit Card Number: __ __ __ __ Visa __ __ __ __ __ __ __ __ __ __ __ __ Expiry Date: __ __/__ __

Name on Card: ............................................................................................................................................................................................................................... Signed: .................................................................................................................................................Date: .................................................................................

With thanks to our sponsors to date

Bronze

The 46th Annual Meeting of the Pacific Association of Pediatric Surgeons together with the Annual Scientific Meeting of the Australian and New Zealand Association of Paediatric Surgeons