Full Legal Name
Address
Phone
Email
Number of people living in the residence
Number of rooms
Will the Player(s) have access to a separate room? YesNo
Will the Player(s) have access to a bathroom? YesNo
Will the Player(s) have access to and use of the kitchen? YesNo
Will the Player(s) have a parking spot? YesNo
Will the Player(s) be able to live with you from June 1st through August 20th? YesNo
Special Information or Instructions for potential Hosted Player(s):
May the Drifters staff visit your residence prior to confirming Host Family status? YesNo
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