Chippewa Steel Host Family Form

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Thank you for choosing to host a player for the Chippewa Steel! Please fill out this form and the billet coordinator from the Chippewa Steel will review your answers and contact you regarding the next steps in becoming a billet family.

Last name *

Billet father's first name *

Billet mother's first name *

Address (Street, City, State, Zip) *

Billet father's email *

Billet mother's email *

Billet father's phone (XXX-XXX-XXXX) *

Billet mother's phone (XXX-XXX-XXXX) *

Billet father's occupation *

Billet mother's occupation *

Children (living in the home) Names, gender, & age *

Who else lives in your home with you (besides spouse and children listed above) *

How much travel is required by host family's employer(s)? *

Little to None

Some

Frequent

Does either parent work or run a business from home? *

Have you ever hosted a player or exchange student before? *

If you hosted two players, would each player have their own room? *

Yes

Please describe the accommodations available to a player in your home *

In addition to a permanently assigned player, would you be willing and able to house an additional player on temporary/short term basis (player in town on a tryout, other billet family out of town, etc)? *

Yes

USA Hockey guidelines stipulate background checks to be conducted on all families that are part of our housing program. Would you object to having a background check on you and your family? *

Yes

Do you have any pets living in your home? *

Yes

Required

If you have pets please list all of your pets by name and type

Do you allow smoking in your home? *

Yes

Do you have/keep alcohol in your home? *

Yes

How many nights a week do you eat at home? *

Do you have wireless internet access in your house? *

Yes

What chores would the player be responsible for? *

What house rules do you have for the player? *

Will you notify the Billet Coordinator if there are any concerns with your player or if the player has broken any of the team rules? *

Yes

During the season your player may be traded or cut, if this were to happen would you be willing to take on another player? *

Yes

Would you be able to give the player enough personal space and refrain from asking questions about the team or "coaching" him on his game? *

Yes

USA Hockey, NAHL and Chippewa Steel all require an in home visit by the Billet Coordinator. Do you have any objections to this? *

Yes

What questions or comments do you have at this time? *

Option 1

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