JCCAA Leisure Learning Club 2017 Trip
Discover the Spectacular Taiwan & Foliage Japan 2017
Luxury Guided Trip with Hotel, Tour Bus, Cruise, local Airport/Hotel Transportation, show tickets and all Meals
Registration: Before 04/01/17 with Registration/Liability Waiver Form, payment and passport photocopy
Final Payment Due Date: April 30, 2017
Limited Space, first come first serve
Early Bird Bonus for Japan $100: LLC members who complete their registration and postmarked by 1/31/17
Trip
Date
Land Only
Air + Tax +
Fuel Surcharge
A: Concert Tour
台北台中台南
B: Taiwan Tour
台中-台北環島
10/10-10/16
$450
10/16-10/21
$650
10/22-10/29
10/21-10/29
$2,699
IAH/TPE+TPE/NGO+TOY/TPE/IAH
around $1,350
TPE/NGO+TOY/TPE only - $350
IAH/TPE + TPE/IAH
to be announce
(Taiwan only)
Title Passport Name
C: Take EVA Air
台北出發
休士頓出發
Chinese Name
Date of Birth
Passport #
D: Direct Fright
休士頓出發
10/21-10/29
IAH/NGO+TOY/IAH
$2195
(not stopping Taipei)
Expiration Date Citizenship
1.__________________________________________________________________________________________
2.__________________________________________________________________________________________
Mailing Address: (NO P O BOX) ___________________________________________ City __________________
State: ______ Zip
_
Home Phone: (_______) _________________
Email Address: ______________________________________
Cell Phone:
(_______) _______________________________
Emergency Contact Name___________ Phone _____________ United Mileage# __________________________
A $450: □
B $ 650: □
C $2699: □
D $2699: □
10/21-22 Hotel + Bus $50: □
Air Tickets: □
Deposit: A&B$450+C&D$1000 per Person X ____ = $ _________ Non-LLC Member: $50 X ____ = $ __________
Total Check Amount: $ _____________
Check #: _____________
Check Date: _____________
Japan Trip Cancellation Policy
$100 non-refundable service charge after April 30, 2017
Additional charges after May 31, 2017: ● 6/1/17 to 7/31/17- $200 ● 8/1/17 -8/30/17 - $700
● 9/1/17 to 9/30/17 – $1400 ● No Refund or changes after 10/1/17
Price includes: Guided Land Tour, International (if apply) & domestic Airfare/tax/fuel surcharge, Hotel, Tour Bus,
Airport/Hotel Transportation, entrance Fees, show tickets and all Meals but pre-trip 10/11-10/15 (breakfast only).
Price does not includes: Gratuities, Trip Cancellation Insurance, Personal expenses
International Air Tickets Cancelations: According airline cancelation policy after issue the tickets.
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:
Ray Liao, 15915 ABBERTON HILL DR., SPRING, TX 77379
Joint Chinese College Alumni Association of Southern USA
Liability Waiver Form
Event: JCCAA/LLC 2016 Discover the Spectacular Taiwan & Foliage Japan 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.
_________________________________
Signature
_________________________________
Print Name
_________________________________
Date
_________________________________
Event – JCCAA 2017 Taiwan &Japan 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, Aileen Don 281-980-0186 or email [email protected]
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.
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