Homestay Guest Application


Please fill in the Homestay Guest Application, it will enable us to know you better and provide you with the best possible match.

* Denotes required field and the form will not be successfully sent without them.

*First Name:
*Family Name:
*Email address:
*Home address: *Street

*City

*Province/State/Prefecture

*Country

*Postal/Zip Code
*Home
  phone number:

Please include area code.
Your Preference for a family who has... young children   teenage children   no children   no preference  

country home   city home  
no preference  

pets   no pets  
no preference  
Do you smoke: Yes   No  
Do you mind living with smokers: Yes   No  
Do you have any allergies: Yes   No   Not sure  
If yes to allergies what are they:
If you have any medical problems please list them here:
What are your favourite activities and hobbies:
We will do our best to match you with a host family of similar interests, it is sometimes not possible to meet all your requests due to availability.

      


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