Parent/Guardian Waiver Form | The Chinese Language Institute

Parent/Guardian Information

Please enter the information of the parent/guardian completing this form.

Nombre

Apellido

Correo electrónico

Teléfono

Child/Dependent Information

Please enter the information of your child/dependant for whom you are completing this form.

Nombre

Apellido

Fecha de nacimiento

Correo electrónico

Programa

Firma del padre, la madre o tutor legal

Declaro que:

The above information is accurate and correct to the best of my knowledge.
My child/dependant agrees to abide by the laws of his/her program’s host country or territory throughout the duration of his/her program.
My child/dependant and I have read and accept the Chinese Language Institute’s Terms and Conditions (link opens in new tab).

Electronic Signature of Parent/Guardian

Estoy de acuerdo con todas las declaraciones anteriores.

Nombre