JCCAA Leisure Learning Club 2017 Trip Discover the Spectacular 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 12/31/16

A: Concert Tour B: Taiwan Tour C: Take EVA Air D: Direct Fright Trip 台北台中台南 台中-台北環島 台北出發 休士頓出發 休士頓出發 Date 10/10-10/16 10/16-10/21 10/22-10/29 10/21-10/29 10/21-10/29 Land Only $450 $650 $2,699 IAH/TPE + TPE/IAH IAH/TPE+TPE/NGO+TOY/TPE/IAH IAH/NGO+TOY/IAH Air + Tax + $1050 $1,350 or Less $2160 (not Fuel Surcharge (Taiwan only) TPE/NGO+TOY/TPE only $350 stopping Taipei)

Title Passport Name Chinese Name Date of Birth Passport # Expiration Date Citizenship

1.______

2.______

Mailing Address: (NO P O BOX) ______City ______State: ______Zip _ Email Address: ______Home Phone: (______) ______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: Wendy Lam 15922 Oak Island Dr., Tomball, TX 77377

J Joint Chinese College Alumni Association of Southern USA

Liability Waiver Form Event: JCCAA/LLC 2016 Discover the Spectacular Foliage Japen 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/LLC 2017 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.