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Shelter Island Bucks Host Family Housing Application
Thank you for being willing to host for the Shelter Island Bucks!
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* Indicates required question
Email
*
Your email
Name(s)
*
Your answer
Address
*
Your answer
Cell Phone
Your answer
Home Phone
Your answer
Pets?
Your answer
Other young adults/children in the home?
*
Yes
No
If yes, how many and ages?
Your answer
How many players can you host?
*
Each player needs a room, regular bed, access to laundry and the kitchen. Providing food and internet access is not required, but encouraged.
Your answer
Which dates can you host?
*
June 1-15
June 16-30
July 1-15
July 16-31
Dates:
June 1-15
June 16-30
July 1-15
July 16-31
Dates:
Special Requests?
Your answer
Stipend or PAY-IT-FORWARD?
*
Monthly stipend - $50 per week (per player) payable at the end of every week. We will disburse checks weekly. At your discretion you can decline stipend and the funds will be used for team expenses.
No - help pay for team expenses
Yes - please
If stipend mailing address is different than above
Your answer
How did you hear about the Bucks and our need of housing?
Your answer
Send me a copy of my responses.
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