Host Family Information Form
Name of Primary Contact
*
First Name
Last Name
Name of Second Parent (if applicable)
First Name
Last Name
Take a Selfie of Your Family
*
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email of Primary Contact
*
example@example.com
Email of Second Parent (if applicable)
example@example.com
Home Phone Number
*
Please enter a valid phone number.
Primary Contact Cell Phone
*
Please enter a valid phone number.
Secondary Parent Cell Phone (if applicable)
Please enter a valid phone number.
How many children live in this home?
*
Names and Ages of children, if applicable.
Do you have any pets?
*
Yes, dogs
Yes, cats
Yes, dog(s) and cat(s)
No
Other
How many Players are you willing and able to host?
*
What leisure activities do you and your family enjoy?
*
Do you have any specific requests, players or otherwise, that we will try to accommodate?
*
Thank You for volunteering to Host!
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