Travel Release Form 旅游声明表


 Parent Name 家长姓名
    ____________
Student Name 学生姓名
    ____________
Departure date 离开日期
日期    ____________
Return date 返回日期
日期    ____________
Person responsible at destination 居住地负责人姓名
    ____________
Contact number 负责人电话
    ____________
Reason for travel 外出原因
    ____________
I consent for my child to travel according to the information provided above.
我同意我的孩子根据上面提供的信息外出旅游。
I consent 我同意
I hereby release United Elite International Education Inc., its homestay coordinator, the custodian, the hostfamily, and Archbishop Carney Regional Secondary School from all liability for injury, damages, or claimsresulting from my child's participation in arrangement. Students may not have adequate medical coverage for travelling outside of Canada and will be expected topay for the additional coverage. Contact your medical insurance agency for assistance.
I consent 我同意

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