HOST APPLICATION
NB: All Information submitted is strictly confidential and will not be used for any other purpose than to assess your potential as a Lenard host family

NAME

E-MAIL

TELEPHONE
FACSIMILE
ADDRESS
FAMILY MEMBERSPlease include first name, relationship, age and occupation of each family member
PETS
FOOD
SMOKING
INTERESTS
ROOMS AVAILABLE
ROOMS AVAILABLETwin
Single
Other 		B&B
All Meals
Room Only		Ensuite
Private Bath
Shared Bath
OTHER DETAILS
LOCATION

RESTRICTIONS and OBJECTIONS

eg.
Unmarried couples
Nationality, Age, Sex,
length of stay, Religion,
etc
HOW DID YOU HEAR ABOUT LENARDS?

Please make sure all details are correct before submitting, 
thank you

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