Host Family Form

Family Name *Family Name

First Name *Parent(s) First Name(s)

Last Name *Parent(s) Last Name(s)

Street Address *Home Address

City *

State/Province *

ZIP / Postal Code *

Cell Phone *Cell Phone Number

Home PhoneHome Phone Number

Work PhoneHome Phone Number

Email Address *Email Address

Are there smokers in the household? *YesNo

If yes, do you smoke indoors?YesNo

Number of players you are able to host: *Please keep in mind they must have a private bedroom and access to a bathroom and laundry facilities.

Briefly explain your reason for hosting: *0 / 2500

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