Host Family Application

    Applicant Name:
    Applicant Age:

    Spouse Name:
    Spouse Age:

    Address:
    City:
    Postal Code:

    Email Address:
    Home Phone:
    Cell Phone:
    Work Phone:

    Do you have children at home?
    If yes:
    Child 1 Age: M or F:
    Child 2 Age: M or F:
    Child 3 Age: M or F:

    Do you or your spouse work from home?
    Applicant Occupation: Applicant Employer:
    Spouse Occupation: Spouse Employer:

    Do you have pets?
    If yes please list:
    Pet 1
    Pet 2
    Pet 3

    Do you have internet access?

    Have you ever hosted before?

    Is your home smoke free?

    How many players are you interested in hosting?

    Are you interested in helping if a short term host situation is required?

    Tell us why you would like to Host a Buccaneer:

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