Host Family Enquiry

Salutation

First Name

Last Name

Email

Phone

Address


FAMILY DETAILS

Family Members

Please include first name, relationship, age and occupation of each family member

Pets


Please list any pets

Smoking


Are there smokers in the house or smoking not permitted in the house

Interests


ROOMS, FOOD and FACILITIES AVAILABLE

Rooms
 Twin Single Other

Bathroom
 Ensuite Private Bath Shared bath

Other Facilities and Local Amenities

eg. Swimming pool, Beach Access, Parks, Proximity to Transport and Shops etc

Food
 Bed and Breakfast All Meals provided Room only - No food

Any special food requirements or restrictions - e.g. vegetarian or gluten free


RESTRICTIONS and OBJECTIONS

eg. Unmarried couples, Nationality, Age, Sex, length of stay, Religion, etc

Please List if any