In consideration of accepting membership in the Chinese Cultural Association of Greater Philadelphia (CCAGP), I, my family, our heirs, executors, and assigns, do hereby waive and release any and all past, present, and future claims and rights for claims against CCAGP, the Main Line Chinese School, its agents, officers, board members or members for any and all injuries or property loss suffered by us during school hours, school sponsored activities, and all CCAGP functions.
Insurance Certification
I hereby certify that our family and guests will provide our own personal accident and health insurance when attending CCAGP related functions.
Guardian_____________________________________________ (Signature* Date)Family No. ___________(on the top right corner of the registration form)
Please print the name of your family member who registers in Chinese school.
Name (English)______________________________
Class___________
Name (English)______________________________
Class___________
Name (English)______________________________
Class___________
*Please note that your signature also indicates you have read the Parents' and Students' Guideline which listed on the back of this page. You and your family member who registers in Chinese school agree to obey it.