Chen Style Tai Chi Centre; 128 Riverbrook Road, Altrincham, WA14 5UL, UK; Tel: 0161 9052659;

Chen Style Tai Chi Centre; 128 Riverbrook Road, Altrincham, WA14 5UL, UK; Tel: 0161 9052659; Mobile: 07853 200959; Email: [email protected] Web site: www.taichicentre.com China Trip 2018 Booking Form

(An authorized copy of this form will be sent as a receipt on clearance of payment.)

First name Surname

(Same as your passport)

Any Food Are you T-shirt size Allergy vegetarian

Sex Passport & two photos and a copy of your Photos passport image page are needed

Date of Birth Booking No. (office use only)

Home address & Postcode

Telephone Telephone

& email & email

Deposit, (office use only) Administration , Flight Paid on: / / 2018 ; Authorized by: Master Liming Yue reservation Fee £900 (non- refundable)

Final (office use only): Paid on: / / 2017; Authorized by: Master Liming Yue Payment £1480

Payment: Please enclose a cheaque of £900 payable to Master Liming Yue with this application form. The remaining £1480 should reach Master Liming Yue no later than the 31st March 2018. Alternatively, the payments can be paid into our bank account directly and the details are as following: The Barclays Bank Account: name: L Yue Tai Chi Centre; sort code: 20-55-34; account number:90225665; IBAN: GB49 BARC 2055 3490 2256 65; SWIFTBIG: BARCGB22; Branch address: 51 Moseley Street, Manchester, M60 2AU

Notice: Please send a copy of your valid travel insurance to cover the China Trip by 1st June 2018. To fail to do so it may result in being refused to join the China Trip if there is no valid insurance to cover the China Trip on the day when you are traveling. Chen Style Tai Chi Centre; 128 Riverbrook Road, Altrincham, WA14 5UL, UK; Tel: 0161 9052659; Mobile: 07853 200959; Email: [email protected] Web site: www.taichicentre.com

PARTICIPANT DECLARATION China Trip 2018

I, (Print your name here: ) the undersigned, voluntarily submit the Registration Form of the China Trip 2018. I fully understand that I shall undertake all the responsibilities for any injury or casualty or disability caused by the accidents during the Trip. On behalf of my successors, personal assistant, agents, representatives, the assigned and myself, I voluntarily assume all the consequences on the principle of equitableness and fairness in the China Trip of any accident or legal disputes during the game, including all related claims, actions and requests.

I agree and comply with the rules and regulations stipulated by Tai Chi Centre. Any objection shall be in compliance with the Regulations on Arbitration for Sports stipulated by the organizing committee.

I agree that all activities during China Trip 2018 may be taken photographs, video or live television programme. I also agree that my name, address, voice, movement, graphics may be used by Tai Chi Centre in all or part of the form without limit, through television, radio, video, media images or any other media, etc. I will not conduct any thereof claim or compensation request.

I have been aware of and fully understand the above statement. (PARTICIPANTS UNDER 18 SHOULD SIGN BY PARENT OR LEGAL GUARDIAN.)

Signature of participant:

or Signature of parents or guardians: