Parent/Guardian Waiver Form | The Chinese Language Institute

Parent/Guardian Information

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

First Name

Last Name

Email

Phone

Child/Dependent Information

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

First Name

Last Name

Date of Birth

Email

Program

Parent/Guardian Signature

I declare that:

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

I agree with all declarations stated above.

Name