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Interested Billet - Housing Questionnaire
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* Indicates required question
Email
*
Your answer
First and last names of housing parents
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Housing Father Email
*
Your answer
Housing Father Cell
*
Your answer
Housing Mother Email
*
Your answer
Housing Mother Cell
*
Your answer
Names/ Ages of Children (if applicable)
*
Your answer
Do you have pets?
*
Dog
Cat
None
Other:
Required
How many pets do you have in your household (if applicable)
*
Your answer
Does anyone other than your children live in your home with you?
*
Yes
No
Is everyone in the household a non-smoker
*
Yes
No
Is your home a smoke free environment
*
Yes
No
Internet Access
*
Yes
No
Would you prefer (check all that apply)
*
High schooler
Non-high schooler
One player
Two players
Temporary player
No preference
Other:
Required
Have you ever hosted an exchange student or player before?
*
Yes
No
Please explain why you are interested in housing a Nanaimo Clippers player(s).
*
Your answer
What are your family hobbies/ activities?
*
Your answer
What household chores would a player be responsible for?
*
Your answer
Please add any other information or comments that may be helpful in placing a player in your home.
*
Your answer
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