JCCAA Leisure Learning Club 2014
Discover the Spectacular Italy
10 or 13 Days Luxury Trip with exclusive meals, Airline Tickets/Tax & Fuel Surcharge & 5 Special Events
Land + Air: Group A $3599, Group B $4385 Land only: Group A $2499, Group B $3285
Registration: Before 12/30/13 with Registration/Liability Waiver Form, payment and passport photocopy
Final Payment Due Date: December 31, 2013 Limited Space, first come first serve
Early Bird Bonus for Total Package: LLC members who complete their registration and postmarked:
$250 by 10/15/13, $150 by 11/15/13, $50 by 12/15/13
Early Bird Bonus for Land only: $100 by 12/15/13
Optional Pre & Post Tour at Milan & Rome: Detail & cost to be announced
Group Name: JCCAA/LLC Travel Date: Group A 4/24/14 to 5/3/14 Group B 4/23/14 to 5/5/14
Title Passport Name Chinese Name Date of Birth Passport # Expiration Date Citizenship
1.______
2.______
Mailing Address: (NO P O BOX) ______
City State: ______Zip
Home Phone: (______) ______Cell Phone: (______) ______
Email Address: ______United Mileage Plus (Group B only) ______
Group A Land + Air $3599: □ Land Only $2499: □ Group B Land + Air $4385: □ Land Only $3285: □
Down Payment: $1000 X _____ = $ ______Non LLC Member: $50 X _____ = $ ______
Total Check Amount: $ ______Check #: ______Check Date: ______
Trip Cancellation Policy
$100 non-refundable service charge after November 1st, 2013
Additional charges after December 1st, 2013: ● 1/1/14 to 1/31/14- $200 ● 2/1/14 -2/28/14 - $300
● 3/1/14 to 3/31/14 – No refunds; name changes $200 + air penalty ● No Refund or changes after 4/1/14
Price includes: Guided Land Tour, International Airfare/tax/fuel surcharge, Hotel, Tour Bus,
Airport/Hotel Transportation, entrance Fees, all Meals and 5 Special Events.
Price does not include: Gratuities, Trip Cancellation Insurance, Personal expenses
Fuel surcharge & air tax are subject to change
I agree to inform the Tour Group 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 to:
Wendy Lam 15922 Oak Island Dr., Tomball, TX 77377
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.
FOR REGISTRATION AND MORE INFORMATION, check jccaa.net or call:
Ray Liao (281)251-5663, Wendy Lam (281)370-9404 or email
Joint Chinese College Alumni Association of Southern USA
Liability Waiver Form
Event: JCCAA/LLC 2014 Discover the Spectacular Italy Trip
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.
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Signature Print Name
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Date Event – JCCAA/LLC 2014
Discover the Spectacular Italy Trip
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Parent’s Signature (if under 18) Parent’s Print Name