JCCAA Leisure Learning Club 2018 Trip
Discover the Spectacular
Bolivia & Lake Titicaca1/24/19 - 2/2/19
Post-TourTorres Del Paine, Chili 2/1/19 - 2/6/19
Early Bird Bonus:
For LLC members who complete their registration and postmarked by:
5/15/18 Trip A - Bolivia & Titicaca -$300, Trip B -Bolivia & Titicaca + Torres Del Paine $500
6/15/18 Trip A - Bolivia & Titicaca - $200, Trip B -Bolivia & Titicaca + Torres Del Paine $300
Registration Deadline: 06/30/18with Deposit, Registration/Liability Waiver Formand passport photocopy
Final Payment Due Date: 7/15/18Limited Space, first come first serve
Title Passport Name Chinese Name Date of Birth Passport # Expiration DateCitizenship
1.______
2.______
Mailing Address: (NO P O BOX) ______City ______
State: ______Zip _ Email Address: ______
Home Phone: (______) ______Cell Phone: (______) ______
Emergency Contact ______Phone#______United Mileage# ______
A. Bolivia & Titicaca $5088: □ B. Bolivia & Titicaca + Torres Del Paine $ 6788: □
C. Waive IAH-Lima & Santiago-IAH air discount $570: □
Deposit: A$2000, Trip B $2500per Person X ____ = $ ______Non-LLC Member: $100 X __ = $______
Total Check Amount: $ ______Check #: ______Check Date: ______
Trip Cancellation Policy
To be announced
Air Tickets Cancelations:According to airline cancelation policy after issue the tickets.
Price includes: Airfare international & local, tour bus, English speaking guides, all meals, transportation, entrance fee, 4-5 star hotel, basic US travel insurance policy, 2 bottle per day
Price does not includes: Gratuities, Trip Cancellation Insurance, Personal expenses, Air Tax. Bolivia visa, alcoholic and non-alcoholic beverages unless otherwise specified.
I agree to inform the TourGroup Leader of all charges and special requirements required. I understand that non-adherence to the payment schedule and policies may result in penalties and/or cancellation(s).
Name (Please Print): ______
Signature: ______Date: ______
Make checks payable to JCCAA/LLC
Send with Registration Form, Liability Waiver Form and a photocopy of your passport after 4/20/18 to:
Wendy Lam 15922 Oak Island Dr. Tomball, TX 77377
J Joint Chinese College Alumni Association of Southern USA
Liability Waiver Form
Event: JCCAA/LLC 2019Discover the Spectacular
Bolivia & Lake Titicaca and Torres Del Paine post Tour
To the best of my knowledge, I am in good physical condition and fully able to participate in this event. I am fully aware of the risks and hazards connected with the participation in this event, including physical injury or even death, and herby elect to voluntarily participate in said event, knowing that the associated activity may be hazardous to me and my property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OR LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or loss or damage to property owned by me, as a result of participation in this course.
I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE, Joint Chinese College Alumni Association of Southern USA, , their officers, servants, agents, and the event coordinators (hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, while participating in physical activity, or while on or upon the premises where the event is being conducted.
It is my expressed intent that this release and hold harmless agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a RELEASE, WAIVE, DISCHARGE, and CONVENTION TO SUE the above named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be constructed in accordance with the laws of the State of Texas.
In signing this release, I acknowledge and represent that I HAVE READ THE FORGOING Waiver of Liability and Hold Harmless Agreement, UNDERSTAND IT AND SIGN IT VOLUNTARILY as my own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreements have been made; and I EXECUTE THIS RELEASE FOR FULL, ADEQUATE AND COMPLETE CONSIDERATION FULLY INTENDING TO BE BOUND BY SAME.
______
SignaturePrint Name
______
DateEvent – JCCAA/LLC 2019 Trip
______
Parent’s Signature (if under 18) Parent’s Print Name
FOR REGISTRATION AND MORE INFORMATION, check jccaa.net or call:
Wendy Lam (281)370-9404, Ray Liao (281)251-5663 Aileen Don 281-980-0186 or email
The Travel Agency reserves the right to make any changes to the itinerary or price without notice due to any unforeseen event including but not limited to natural disaster, war, strike, airline flight cancellation or airline itinerary changes.