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Application Fee: $50 per person. Application form needs to be filled up and the application fee must be paid while submitting the form online. For those applicants whose procedures are incomplete, the application will not be processed.

Provicy Policy: In order to operate the Washington-Beijing Summer Camp program and to reduce the risk of fraud, we must ask you to provide us information about yourself and your parents. We take the privacy of your personal information with high level of confidentiality and security and will use the information only in processing the application. We never release your personally identifiable information to the third parties.

Application Form * Requried information

FIRST PART

First Name *	Middle Name	Last Name *	中文姓名
Date of Birth * (mm/dd/yyyy)	Gender * Male Female	Citizenship *	Place of Birth *
Email Address *	Home Address *:	City *	State *
Zip Code *	Home Phone No.* (xxx-xxx-xxxx)	Other Phone No.	School Name *
Current Grade * 9th 10th 11th 12th Other	Speak Chinese Fluent Good Fair Little	Ever participated summer camp in China; Yes No	If yes, what year and city
Do you have health insurance?* Yes No	Health Insurance Provider	Policy Holder Name	Policy Contact Phone No.
Weight (kg)*:	Height (cm)*:	Health Status*: Good Fair Poor	Religion:

SECOND PART

Father's Name *	中文姓名	Phone No. *	E-mail Address
Mother's Name *	中文姓名	Phone No. *	E-mail Address

Terms, Conditions and Liability Waiver Agreement:

I have decided and agreed to take part in the Washington to Beijing Summer Camp Program offered through Washington-Beijing Culture Exchange Association (WBCEA). I acknowledge that I have been advised regarding the full scope of activities associated with the program as stated on the web site or program materials, including classes, visits and trips, living conditions and other logistical arrangements. In consideration of this opportunity to participate in the Washington to Beijing Summer Camp Program, I do voluntarily and without reservation, release and hold harmless, and indemnify WBCEA including its program directors and staff members from any liability, claims, demands, and causes of actions arising out of or related to any loss, damage, irregularity or expenses arising from any vehicle or services, strikes or war, weather, sickness, quarantine, government restrictions or regulations, or from any act of omission of any airline, bus transportation, any other mean of transportation, sightseeing, dormitory, hotel, or any other service transporting company, firm, individual or agency, or any staff member related to this study program. WBCEA reserves the right to change the tour routes and camp place where the Washington to Beijing Summer Camp Program is offered should such change be caused by circumstances beyond its control. If such change proves necessary, WBCEA will give you reasonable notice and offer you a comparable alternative. WBCEA does not have control over anything offer by its sponsors or changes made by the sponsors. 1- BEHAVIORAL EXPECTATIONS I am aware of the behavior that is expected of me while participating in the Washington to Beijing Summer Camp Program. I am aware that, as a visitor in a foreign country, there is certain inappropriate behavior that will be unacceptable and such behavior could lead to possible disruption of the program. I hereby assure that I shall conduct myself in an appropriate manner at all times. I agree that the Program shall have the right to enforce appropriate standards of conduct, and that it may at any time terminate my participation in the program for failure to maintain these standards or for any actions or conduct which the Program considers to be incompatible with the interests, harmony, comfort, and/or welfare of the Program and the other participants. If my participation is terminated, I consent to be returned to my home at my own (or responsible party's) expense with no refund of any fees. 2- LEGAL ISSUES I understand that as a Foreign Country citizen or resident in China I will be subject to the laws of China. I acknowledge and understand that should I fall into legal problems with any foreign nationals or governmental jurisdictions of China, I will attend to the matter personally with my own personal funds. 3- MEDICAL RESPONSIBILITY [A] Understanding and waiver: I understand that there are certain risks inherent in international travel. I further understand that serious injuries occasionally occur during participation in travel, that participants in activities associated with travel occasionally sustain mortal or serious personal injuries, property damage, or severe economic and social loss as a consequences of not only their own actions or negligence but WBCEA. The actions or negligence of others or the conditions of travel or equipment used and that there may be other risks not known to me or nor reasonably foreseeable at this time. I understand that WBCEA cannot assume responsibility for all or certain activities for me. I agree to release, waive, and discharge, their directors, staff and agents from all liability to me, my personal representative, assigns, heirs, and next of kin for any medical loss, damage, or injury caused solely by the negligence or willful misconduct of the WBCEA and the sponsors, their directors, faculty, staff or agents. [B] Health: I am aware of my personal medical needs and hereby assure WBCEA that I have consulted with a medical doctor as I may deem necessary with regards to any personal needs. I certify that to my knowledge I currently have no medical problem that would adversely affect my participation. [C] Hospitalization & Insurance I am aware that, should I be required to be hospitalized while in China, WBCEA cannot and do not assume any legal responsibility for payment of such costs. I hereby assure WBCEA that I have assumed all risk and responsibility and that I have adequate medical insurance to meet any and all needs for payment of hospital costs during the Washington to Beijing Summer Camp Program including during travel segments. 4- OTHER: I acknowledge that it is my personal responsibility to obtain all documents required for entering China or any foreign country or countries and that my failure to obtain these documents does not constitute grounds for withdraw with refund, except if an entry visa has been refused by China after following all the proper procedures. I am responsible to attain all applicable visas and endorsements. I give WBCEA my permission to use for promotional purposes any photographs or movies taken in the camp and tour of my participation in the program. I understand that this agreement applies to my entire participation in the program including any excursions. I have read the above waiver of liability, and agree with it completely.

I Accept I Decline